Individual
MR. BERRY GORDON DENTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
856 W 19TH ST, SAN PEDRO, CA 90731-5314
(310) 519-8723
Mailing address
856 W 19TH ST, SAN PEDRO, CA 90731-5314
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13399
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/23/2023
Last updated
01/26/2026
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