Individual provider · Type 1 NPI

Isaac Dieterman, BA, DP-C

Addiction (Substance Use Disorder) Counselor · Midland, MI

NPI number 1174185474 Active

Practice location

5816 Eastman Ave
Midland, MI 48640-6792

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1174185474

Isaac Dieterman, BA, DP-C's National Provider Identifier is 1174185474, issued on Jul 8, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Midland, MI. The record was last updated on Jul 8, 2019.