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1073996484
DEREK PATTON
PHOENIX, AZ
NPI
1073996484
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NV NV 1108)
Enumeration Date
2015-07-02
Last Update Date
2015-07-09
Business Address
-- DEREK PATTON M.S., LADC
4212 N 16TH ST
PHOENIX, AZ 85016-5319
Phone number: 602-263-1200
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Mailing Address
-- DEREK PATTON M.S., LADC
PO BOX 310001-069
PASADENA, CA 91110-0698
Phone number: 602-263-1200
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