Individual provider · Type 1 NPI

Deidre Detloff

Mental Health Counselor · Hinesville, GA

NPI number 1629640891 Active

Practice location

1518 Airport Rd
Hinesville, GA 31313-9439

Call (912) 559-5536 Map

Mailing address

616 Union St
Brunswick, GA 31520-8213

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1629640891

Deidre Detloff's National Provider Identifier is 1629640891, issued on Jul 15, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Hinesville, GA. The record was last updated on Jul 15, 2021.