person
Dr. Mark William Deitrick, LPC
Professional Counselor in Ellwood City, Pennsylvania
NPI 1174755078

Mark William Deitrick is a Professional Counselor based in New Castle, PA and is specialized in Professional. Mark William Deitrick practices in Ellwood City, PA and has the professional credentials of LPC. The NPI Number for Mark William Deitrick is 1174755078 and holds a License No. PC000115 (Pennsylvania).

The current practice location address for Mark William Deitrick is 229 Portersville Rd, Ellwood City, PA and can be reached out via phone at 724-752-9114 and via fax at 724-657-3326.

Location: 229 Portersville Rd, Ellwood City, PA, 16101-8671
person
Provider Profile Details
NPI Number
1174755078
Provider Name
Mark William Deitrick
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
229 Portersville Rd, Ellwood City, PA, 16101-8671
Phone Number
724-752-9114
Fax Number
724-657-3326
Provider Enumeration Date
08/11/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
251830792 01 PA INTERGROUP SERVICES CORPORATION
2114493 01 PA HIGHMARK BLUE CROSS BLUE SHEILD
12765444 01 MULTIPLAN
institution
Provider Business Practice Location Address Details
Address
229 Portersville Rd
City
State
Zip
16117-2431
Phone Number
724-752-9114
Fax Number
724-657-3326
person
Provider Business Mailing Address Details
Address
229 Portersville Rd
City
State
Zip
16117-2431
Phone Number
724-752-9114
Fax Number
724-657-3326
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
PC000115 (Pennsylvania)
Definition
Definition to come...
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