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Grant Dietrich, LPCC,LADC
Mental Health Counselor in Brooklyn Center, Minnesota
NPI 1750018644

Grant Dietrich is a Mental Health Counselor based in Woodbury, MN and is specialized in Mental Health. Grant Dietrich practices in Brooklyn Center, MN and has the professional credentials of LPCC,LADC. The NPI Number for Grant Dietrich is 1750018644 and holds a License No. CC00991 (Minnesota).

The current practice location address for Grant Dietrich is 6040 Earle Brown Dr Ste 100, Brooklyn Center, MN and can be reached out via phone at 651-313-8080.

Location: 6040 Earle Brown Dr Ste 100, Brooklyn Center, MN, 55129-7837
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750018644
Provider Name
Grant Dietrich
Credential
LPCC,LADC
Provider Entity Type
Individual
Gender
Male
Address
6040 Earle Brown Dr Ste 100, Brooklyn Center, MN, 55129-7837
Phone Number
651-313-8080
Fax Number
Provider Enumeration Date
08/02/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6040 Earle Brown Dr Ste 100
City
Brooklyn Center
State
Minnesota
Zip
55430-2561
Phone Number
651-313-8080
Fax Number
person
Provider Business Mailing Address Details
Address
6040 Earle Brown Dr Ste 100
City
Brooklyn Center
State
Minnesota
Zip
55430-2561
Phone Number
651-313-8080
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
CC00991 (Minnesota)
Definition
Definition to come...
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