Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Derek Lee Thrush, ACLC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1396536371

Derek Lee Thrush, ACLC is an Addiction (Substance Use Disorder) Counselor in Missoula, Montana. Licensed in Montana. Registered with an NPI since 2025.

Licensed in
MT
In the registry since
2025

Practice location Address checks out

2001 S Russell St
Missoula, MT 59801-6621
Phone: (406) 830-4167
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence BBH-ACLC-LIC-79179 (MT)

Record details

NPI number1396536371
Entity typeIndividual (Type 1)
GenderMale
Credentials ACLC
Sole proprietorNo
NPI enumeratedMay 16, 2025
Last updated in NPPESMay 16, 2025
Certification dateMay 16, 2025

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