Individual provider · Type 1 NPI
Derek Patton, M.S., LADC
Addiction (Substance Use Disorder) Counselor · Phoenix, AZ
NPI number
1073996484
Active
Practice location
4212 N 16th St
Phoenix, AZ 85016-5319
Mailing address
PO Box 310001-069
Pasadena, CA 91110-0698
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | NV 1108 (NV) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1073996484
Derek Patton, M.S., LADC's National Provider Identifier is 1073996484, issued on Jul 2, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Phoenix, AZ. The record was last updated on Jul 9, 2015.