MR. DEREK DALTON LAC NPI 1386775971

NPI Information

  • NPI: 1386775971
  • Provider Name: MR. DEREK DALTON, LAC
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 1312 NORTH MERIDIAN
    KALISPELL, MT
    ZIP 59904
  • Phone: (406) 756-6453

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NPI Details

MR. Derek Dalton, LAC is an addiction (substance use disorder) counselor in Kalispell, MT. MR. Derek Dalton, LAC NPI is 1386775971. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1312 NORTH MERIDIAN
KALISPELL, MT
ZIP 59904-115
Phone: (406) 756-6453
Fax: (406) 756-8546

The enumeration date for this NPI number is 3/8/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)639MONTANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10000076391OTHERMONTANABLUE CROSS BLUE SHIELD
276555OTHERMONTANACHIP
30320372MEDICAIDMONTANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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