Individual
DEREK PATTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., LADC
Contact information
Practice address
4212 N 16TH ST, PHOENIX, AZ 85016-5319
(602) 263-1200
Mailing address
PO BOX 310001-069, PASADENA, CA 91110-0698
(602) 263-1200
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
NV 1108
NV
Other
Enumeration date
07/02/2015
Last updated
07/09/2015
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