Individual provider · Type 1 NPI

Derricketa Palacio

Addiction (Substance Use Disorder) Counselor · Los Angeles, CA

NPI number 1043853039 Active

Practice location

5715 S Broadway
Los Angeles, CA 90037-4131

Call (323) 948-0444 Map

Other practice locations

  • 16314 Cornuta Ave, Bellflower, CA 90706-4814 · (562) 923-4545

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1043853039

Derricketa Palacio's National Provider Identifier is 1043853039, issued on Oct 22, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Los Angeles, CA. The record was last updated on Mar 17, 2023.