Individual provider · Type 1 NPI
Douglas Pettiford
Addiction (Substance Use Disorder) Counselor · Wilmington, DE
NPI number
1285034769
Active
Practice location
500 W 10th St
Wilmington, DE 19801-1422
Fax (302) 984-3324
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 1341 (DE) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1285034769
Douglas Pettiford's National Provider Identifier is 1285034769, issued on Sep 3, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Wilmington, DE. The record was last updated on Sep 3, 2014.