Individual
DEREK LEE THRUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACLC
Contact information
Practice address
2001 S RUSSELL ST, MISSOULA, MT 59801-6621
(406) 830-4167
Mailing address
2001 S RUSSELL ST, MISSOULA, MT 59801-6621
(406) 830-4167
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
BBH-ACLC-LIC-79179
MT
Other
Enumeration date
05/16/2025
Last updated
05/16/2025
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