Individual
TERRY THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BSW, LAC
Contact information
Practice address
840 LUPFER MEADOWS RD, WHITEFISH, MT 59937-8097
(406) 314-5247
(406) 862-2507
Mailing address
PO BOX 5453, WHITEFISH, MT 59937-5453
(406) 314-5247
(406) 862-2507
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LAC 1021
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
78954
CAPS
MT
Enumeration date
03/16/2014
Last updated
03/16/2014
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