Individual provider · Type 1 NPI

Mark William Deitrick, LPC

Professional Counselor · Ellwood City, PA

NPI number 1174755078 Active

Practice location

229 Portersville Rd
Ellwood City, PA 16117-2431

Call (724) 752-9114 Map

Fax (724) 657-3326

Mailing address

2703 W State St
New Castle, PA 16101-8671

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XPC000115 (PA)

Professional Counselor: Definition to come...

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About NPI 1174755078

Mark William Deitrick, LPC's National Provider Identifier is 1174755078, issued on Aug 11, 2009. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Ellwood City, PA. The record was last updated on Aug 9, 2010.