Individual
ANTOINETTE DENISE DUCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RADT
Contact information
Practice address
37049 33RD ST E, PALMDALE, CA 93550-6649
(818) 836-8871
Mailing address
37049 33RD ST E, PALMDALE, CA 93550-6649
(818) 836-8871
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1492341222
CA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
02/27/2023
Last updated
04/21/2023
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