person
Demitrius Brackett, OWNER/DO
Mental Health Counselor in Joliet, Illinois
NPI 1053911479

Demitrius Brackett is a Mental Health Counselor based in Joliet, IL and is specialized in Mental Health. Demitrius Brackett practices in Joliet, IL and has the professional credentials of OWNER/DO. The NPI Number for Demitrius Brackett is 1053911479 and holds a License No. (Illinois).

The current practice location address for Demitrius Brackett is 311 N Ottawa St Apt 209, Joliet, IL and can be reached out via phone at 815-766-5999.

Location: 311 N Ottawa St Apt 209, Joliet, IL, 60432-4080
person
Provider Profile Details
NPI Number
1053911479
Provider Name
Demitrius Brackett
Credential
OWNER/DO
Provider Entity Type
Individual
Gender
Male
Address
311 N Ottawa St Apt 209, Joliet, IL, 60432-4080
Phone Number
815-766-5999
Fax Number
Provider Enumeration Date
10/26/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
311 N Ottawa St Apt 209
City
State
Zip
60432-4080
Phone Number
815-766-5999
Fax Number
person
Provider Business Mailing Address Details
Address
311 N Ottawa St Apt 209
City
State
Zip
60432-4080
Phone Number
815-766-5999
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
91079 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Pain
Taxonomy
License No.
()
Definition
Definition to come...
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