Ashanti Minkah Pettaway
Ashanti Minkah Pettaway is a Mental Health Counselor in Chicago, Illinois. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
1147 W Ohio StChicago, IL 60642-6472
Phone: (312) 772-9796
Fax: (312) 561-6974
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1710729033 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 7, 2024 |
| Last updated in NPPES | June 7, 2024 |
| Certification date | June 7, 2024 |
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