Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Derrick Anthony Depetro, BS, CADC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1568984995

Derrick Anthony Depetro, BS, CADC is an Addiction (Substance Use Disorder) Counselor in Negaunee, Michigan. Works from 3 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2017
What do these letters mean?
BS — Bachelor of Science
An undergraduate science degree.
CADC — Certified Alcohol and Drug Counselor
A certified addiction counsellor.

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Practice location Address checks out

104 Malton Rd
Negaunee, MI 49866-2000
Phone: (906) 228-4692
Fax: (906) 228-2830
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 97 S 4th St Ste B, Ishpeming, MI 49849-2168 — (906) 226-9699
  • 1009 W Ridge St, Marquette, MI 49855-3997 — (906) 226-6545

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 2-00996 (MI)

Record details

NPI number1568984995
Entity typeIndividual (Type 1)
GenderMale
Credentials BS , CADC
Sole proprietorNo
NPI enumeratedJuly 7, 2017
Last updated in NPPESJune 1, 2022
Certification dateJune 1, 2022

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