Individual
DEMITRIUS BRACKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OWNER/DO
Contact information
Practice address
411 N BLUFF ST APT 11, JOLIET, IL 60435-7295
(815) 766-5999
Mailing address
311 N OTTAWA ST APT 209, JOLIET, IL 60432-4080
(815) 766-5999
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
AC-6153-55852005
IL
103TB0200X
Cognitive & Behavioral Psychologist
Primary
AC-6153-55852005
IL
174200000X
Meals Provider
AC-6153-55852005
IL
372600000X
Adult Companion
AC-6153-55852005
IL
372600000X
Adult Companion
—
AZ
3747A0650X
Attendant Care Provider
Primary
—
AZ
3747P1801X
Personal Care Attendant
—
AZ
374U00000X
Home Health Aide
—
AZ
Other
Enumeration date
10/26/2020
Last updated
01/28/2026
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