Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DERRICK ANTHONY DEPETRO, BS, CADC
ActiveDERRICK ANTHONY DEPETRO, BS, CADC is a Addiction (Substance Use Disorder) Counselor healthcare provider located in NEGAUNEE, Michigan. NPI 1568984995 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · NEGAUNEE, MI
Registration Details
- NPI Number
- 1568984995
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 7, 2017 (8.9613371789676 yrs)
- Last Updated
- Jun 1, 2022
- License
-
2-00996 (MI)
Practice Information
- Address
-
104 MALTON RDNEGAUNEE, MI, 498662000Browse MI providers · Browse ZIP 49866
- Phone
- 9062284692
- Fax
- 9062282830
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in NEGAUNEE, MI
| Name | Credential | NPI |
|---|---|---|
| HEATHER LYNN NIEMISTO | — | 1760904189 |
| MS. ANNE MARIE MARSHALL | BSW, CADC | 1457874455 |
| LARISSA FAYE STRATTON-HANSON | CADC | 1477079218 |
| ALFRED KEEFER | — | 1356867246 |
| AUTUMN VICTORIA WILBUR | BS | 1689191322 |
| JONATHEN BEN STARR | CADC, BA CRIMINAL JU | 1811414352 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.