DEREK LEE THRUSH

MISSOULA, MT
NPI1396536371
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MT  BBH-ACLC-LIC-79179)
Enumeration Date2025-05-16
Last Update Date2025-05-16
Business Address
DEREK LEE THRUSH ACLC
2001 S RUSSELL ST
MISSOULA, MT 59801-6621
Phone number: 406-830-4167
Mailing Address
DEREK LEE THRUSH ACLC
2001 S RUSSELL ST
MISSOULA, MT 59801-6621
Phone number: 406-830-4167
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