IndividualActive
Keith Pettiford
NPI 1982120358 · Addiction (Substance Use Disorder) Counselor · Wilmington, DE
Provider details
- NPI number
- 1982120358
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
2713 Lancaster Ave
Wilmington, DE 19805-5220
Phone: (302) 225-2500
Approximate (ZIP-level) locationGet directions
Mailing address
2713 Lancaster Ave
Wilmington, DE 19805-5220
Registry dates
- Enumerated
- 2017-08-17
- Last updated
- 2017-08-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.