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Mr. Derek Dalton, LAC
Addiction (Substance Use Disorder) Counselor in Kalispell, Montana
NPI 1386775971

Derek Dalton is an Addiction (Substance Use Disorder) Counselor based in Kalispell, MT and is specialized in Addiction (Substance Use Disorder). Derek Dalton practices in Kalispell, MT and has the professional credentials of LAC. The NPI Number for Derek Dalton is 1386775971 and holds a License No. 639 (Montana).

The current practice location address for Derek Dalton is 1312 North Meridian, Kalispell, MT and can be reached out via phone at 406-756-6453 and via fax at 406-756-8546.

Location: 1312 North Meridian, Kalispell, MT, 59904
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Provider Profile Details
NPI Number
1386775971
Provider Name
Derek Dalton
Credential
LAC
Provider Entity Type
Individual
Gender
Male
Address
1312 North Meridian, Kalispell, MT, 59904
Phone Number
406-756-6453
Fax Number
406-756-8546
Provider Enumeration Date
03/08/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0000076391 01 MT BLUE CROSS BLUE SHIELD
76555 01 MT CHIP
0320372 05 MT
institution
Provider Business Practice Location Address Details
Address
1312 North Meridian
City
State
Zip
59904-0115
Phone Number
406-756-6453
Fax Number
406-756-8546
person
Provider Business Mailing Address Details
Address
1312 North Meridian
City
State
Zip
59904-0115
Phone Number
406-756-6453
Fax Number
406-756-8546
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
639 (Montana)
Definition
Definition to come...
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