Derrick Anthony Depetro, BS, CADC

NPI #1568984995 in Negaunee, Michigan

Provider Information

NPI Number
1568984995
Entity Type
Individual
Name
Derrick Anthony Depetro, BS, CADC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
BS, CADC
Enumeration Date
Jul 7, 2017
Last Updated
Jun 1, 2022

Practice Location

Address
104 MALTON RD
ZIP Code
49866-2000
Phone
(906) 228-4692

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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