Individual provider · Type 1 NPI

Derek Lee Thrush, ACLC

Addiction (Substance Use Disorder) Counselor · Missoula, MT

NPI number 1396536371 Active

Practice location

2001 S Russell St
Missoula, MT 59801-6621

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XBBH-ACLC-LIC-79179 (MT)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1396536371

Derek Lee Thrush, ACLC's National Provider Identifier is 1396536371, issued on May 16, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Missoula, MT. The record was last updated on May 16, 2025.