Derricketa Palacio is an addiction (substance use disorder) counselor in Los Angeles, CA. Derricketa Palacio NPI is 1043853039. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
5715 S BROADWAY
LOS ANGELES, CA
ZIP 90037-131
Phone: (323) 948-0444
The enumeration date for this NPI number is 10/22/2019 and was last updated on 3/17/2023.