MICHAEL PETITT

DEKALB, IL
NPI1598104523
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IL  30401)
Enumeration Date2013-06-24
Last Update Date2013-06-24
Business Address
Mr. MICHAEL PETITT CADC
12 HEALTH SERVICES DRIVE
DEKALB, IL 60115
Phone number: 815-756-4875
Mailing Address
Mr. MICHAEL PETITT CADC
12 HEALTH SERVICES DRIVE
DEKALB, IL 60115
Phone number: 815-756-4875