Individual provider · Type 1 NPI

Derek Dietrich, LPC

Professional Counselor · Austin, TX

NPI number 1235733510 Active

Practice location

13625 Pond Springs Rd Ste 105
Austin, TX 78729-4400

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X78855 (TX)

Professional Counselor: Definition to come...

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About NPI 1235733510

Derek Dietrich, LPC's National Provider Identifier is 1235733510, issued on Nov 26, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Austin, TX. The record was last updated on Nov 26, 2020.