DERRICK MCINTYRE

PASADENA, CA
NPI1447625421
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  C20711214)
Enumeration Date2015-12-02
Last Update Date2015-12-02
Business Address
-- DERRICK MCINTYRE
1680 N FAIR OAKS AVE
PASADENA, CA 91103-1642
Phone number: 626-798-0884
Mailing Address
-- DERRICK MCINTYRE
1680 N FAIR OAKS AVE
PASADENA, CA 91103-1642
Phone number: 626-798-0884
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