Individual
CHENELLE PETTIFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAADC
Contact information
Practice address
228 HARLEQUIN DR, NEW CASTLE, DE 19720-8900
(302) 353-0538
Mailing address
228 HARLEQUIN DR, NEW CASTLE, DE 19720-8900
(302) 353-0538
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/29/2016
Last updated
04/06/2017
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