Individual
DRAKE DEITCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
737 N MICHIGAN AVE STE 1925, CHICAGO, IL 60611-5422
(312) 283-2650
Mailing address
1224 W VAN BUREN ST APT 203, CHICAGO, IL 60607-2804
(248) 410-4789
(248) 410-4789
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
178014164
IL
Other
Enumeration date
04/30/2025
Last updated
04/30/2025
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