DERRICK KEITH BURTON

PASADENA, CA
NPI1871842237
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  B1003311134)
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  CATUS1-1362-010914S)
Enumeration Date2012-08-31
Last Update Date2012-08-31
Business Address
-- DERRICK KEITH BURTON
66 HURLBUT ST
PASADENA, CA 91105-4025
Phone number: 626-254-5000
Mailing Address
-- DERRICK KEITH BURTON
1264 W 81ST ST
LOS ANGELES, CA 90044-2338
Phone number: 714-906-7730