Individual provider · Type 1 NPI

Derrick Keith Burton

Addiction (Substance Use Disorder) Counselor · Pasadena, CA

NPI number 1871842237 Active

Practice location

66 Hurlbut St
Pasadena, CA 91105-4025

Mailing address

1264 W 81st St
Los Angeles, CA 90044-2338

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XB1003311134 (CA)
Addiction (Substance Use Disorder) Counselor 101YA0400XCATUS1-1362-010914S (CA)

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About NPI 1871842237

Derrick Keith Burton's National Provider Identifier is 1871842237, issued on Aug 31, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Pasadena, CA. The record was last updated on Aug 31, 2012.