person
Mr. Michael Petitt, CADC
Addiction (Substance Use Disorder) Counselor in Dekalb, Illinois
NPI 1598104523

Michael Petitt is an Addiction (Substance Use Disorder) Counselor based in Dekalb, IL and is specialized in Addiction (Substance Use Disorder). Michael Petitt practices in Dekalb, IL and has the professional credentials of CADC. The NPI Number for Michael Petitt is 1598104523 and holds a License No. 30401 (Illinois).

The current practice location address for Michael Petitt is 12 Health Services Drive, Dekalb, IL and can be reached out via phone at 815-756-4875 and via fax at 815-756-2944.

Location: 12 Health Services Drive, Dekalb, IL, 60115
person
Provider Profile Details
NPI Number
1598104523
Provider Name
Michael Petitt
Credential
CADC
Provider Entity Type
Individual
Gender
Male
Address
12 Health Services Drive, Dekalb, IL, 60115
Phone Number
815-756-4875
Fax Number
815-756-2944
Provider Enumeration Date
06/24/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
30401 01 IL CADC
institution
Provider Business Practice Location Address Details
Address
12 Health Services Drive
City
State
Zip
60115
Phone Number
815-756-4875
Fax Number
815-756-2944
person
Provider Business Mailing Address Details
Address
12 Health Services Drive
City
State
Zip
60115
Phone Number
815-756-4875
Fax Number
815-756-2944
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
30401 (Illinois)
Definition
Definition to come...
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