person
Mr. Keith Leslie Deraad, CPRP
Mental Health Counselor in Minneapolis, Minnesota
NPI 1063532216

Keith Leslie Deraad is a Mental Health Counselor based in Bloomington, MN and is specialized in Mental Health. Keith Leslie Deraad practices in Minneapolis, MN and has the professional credentials of CPRP. The NPI Number for Keith Leslie Deraad is 1063532216 and holds a License No. (Minnesota).

The current practice location address for Keith Leslie Deraad is 1825 Chicago Ave, Minneapolis, MN and can be reached out via phone at 612-752-8246 and via fax at 612-752-8203.

Location: 1825 Chicago Ave, Minneapolis, MN, 55431-1063
person
Provider Profile Details
NPI Number
1063532216
Provider Name
Keith Leslie Deraad
Credential
CPRP
Provider Entity Type
Individual
Gender
Male
Address
1825 Chicago Ave, Minneapolis, MN, 55431-1063
Phone Number
612-752-8246
Fax Number
612-752-8203
Provider Enumeration Date
03/30/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1825 Chicago Ave
City
State
Zip
55404-1939
Phone Number
612-752-8246
Fax Number
612-752-8203
person
Provider Business Mailing Address Details
Address
1825 Chicago Ave
City
State
Zip
55404-1939
Phone Number
612-752-8246
Fax Number
612-752-8203
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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