person
Jeffery Deitrick
Professional Counselor in Midland, Michigan
NPI 1659989705

Jeffery Deitrick is a Professional Counselor based in Midland, MI and is specialized in Professional. Jeffery Deitrick practices in Midland, MI. The NPI Number for Jeffery Deitrick is 1659989705 and holds a License No. 6801092058 (Michigan).

The current practice location address for Jeffery Deitrick is 1205 E Wackerly St, Midland, MI and can be reached out via phone at 989-832-9161 and via fax at 989-832-8813.

Location: 1205 E Wackerly St, Midland, MI, 48642-7035
person
Provider Profile Details
NPI Number
1659989705
Provider Name
Jeffery Deitrick
Credential
Provider Entity Type
Individual
Gender
Male
Address
1205 E Wackerly St, Midland, MI, 48642-7035
Phone Number
989-832-9161
Fax Number
989-832-8813
Provider Enumeration Date
07/15/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1205 E Wackerly St
City
State
Zip
48642-7035
Phone Number
989-832-9161
Fax Number
989-832-8813
person
Provider Business Mailing Address Details
Address
1205 E Wackerly St
City
State
Zip
48642-7035
Phone Number
989-832-9161
Fax Number
989-832-8813
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
6801092058 (Michigan)
Definition
Definition to come...
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