DEREK DALTON

KALISPELL, MT
NPI1386775971
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MT  639)
Enumeration Date2007-03-08
Last Update Date2007-07-08
Business Address
Mr. DEREK DALTON LAC
1312 NORTH MERIDIAN
KALISPELL, MT 59904-0115
Phone number: 406-756-6453
Mailing Address
Mr. DEREK DALTON LAC
1312 NORTH MERIDIAN
KALISPELL, MT 59904
Phone number: 406-756-6453
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