Individual
CRYSTAL DELAILA PETTUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
715 LAKE ST, OAK PARK, IL 60301-1422
(773) 312-3612
Mailing address
715 LAKE ST, OAK PARK, IL 60301-1422
(773) 312-3612
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
IL
Other
Enumeration date
08/14/2025
Last updated
08/14/2025
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