Individual
MR. JAMEY DIVIETRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., L.C.P.C.
Contact information
Practice address
1288 RICKERT DR, SUITE 300, NAPERVILLE, IL 60540-0951
(630) 717-5657
Mailing address
2531 WHITEWAY CT, AURORA, IL 60504-5275
(630) 717-5657
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
IL
Other
Enumeration date
12/19/2006
Last updated
07/08/2007
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