Keith Pettiford
Counselor, Addiction (Substance Use Disorder) in Wilmington, DE. Individual provider (NPI-1).
NPI number1982120358
StatusActive
Last updated in NPPESAug 17, 2017
Details
- NPI
- 1982120358
- Entity type
- Individual (NPI-1)
- Name
- Keith Pettiford
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 17, 2017
- Last updated
- Aug 17, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | DE | Yes |
Practice location
2713 Lancaster AveWilmington, DE 19805-5220
Phone 302-225-2500
Mailing address
2713 Lancaster AveWilmington, DE 19805-5220
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All 282 Addiction (Substance Use Disorder) Counselor providers in Wilmington · All 8,243 providers in Wilmington
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