Individual provider · Type 1 NPI
Jessica Deitch
Mental Health Counselor · Spring Branch, TX
NPI number
1164847794
Active
Practice location
12036 Canterbury Rd
Spring Branch, TX 78070-7201
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 67690 (TX) |
Mental Health Counselor: Definition to come...
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About NPI 1164847794
Jessica Deitch's National Provider Identifier is 1164847794, issued on Feb 18, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Spring Branch, TX. The record was last updated on Feb 18, 2014.