Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Derricketa Palacio

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1043853039

Derricketa Palacio is an Addiction (Substance Use Disorder) Counselor in Los Angeles, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2019
Specialties on file
2

Practice location Address checks out

5715 S Broadway
Los Angeles, CA 90037-4131
Phone: (323) 948-0444
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 16314 Cornuta Ave, Bellflower, CA 90706-4814 — (562) 923-4545

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X (CA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X

Record details

NPI number1043853039
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 22, 2019
Last updated in NPPESMarch 17, 2023
Certification dateMarch 17, 2023

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