Individual provider · Type 1 NPI

Crystal Delaila Pettus

Mental Health Counselor · Oak Park, IL

NPI number 1508742586 Active

Practice location

715 Lake St
Oak Park, IL 60301-1422

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1508742586

Crystal Delaila Pettus's National Provider Identifier is 1508742586, issued on Aug 14, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Oak Park, IL. The record was last updated on Aug 14, 2025.