DERRICK LERONE CLAXTON

SACRAMENTO, CA
NPI1679848402
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2012-03-12
Last Update Date2012-03-12
Business Address
-- DERRICK LERONE CLAXTON
4441 AUBURN BLVD STE E
SACRAMENTO, CA 95841-4139
Phone number: 916-473-5764
Mailing Address
-- DERRICK LERONE CLAXTON
4441 AUBURN BLVD STE E
SACRAMENTO, CA 95841-4139
Phone number: