Individual provider · Type 1 NPI

Richard Edward Deise Jr., LGPC

Pastoral Counselor · Frederick, MD

NPI number 1669983607 Active

Practice location

226 S Jefferson St
Frederick, MD 21701-6205

Mailing address

417 Wills Creek Dr
Brunswick, MD 21716-1840

Specialties and licenses

TaxonomyCodeLicense
Pastoral Counselor Primary 101YP1600XLGP3137 (MD)

Pastoral Counselor: Definition to come...

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About NPI 1669983607

Richard Edward Deise Jr., LGPC's National Provider Identifier is 1669983607, issued on Oct 17, 2017. The primary taxonomy on file is Pastoral Counselor (101YP1600X), and the practice location is in Frederick, MD. The record was last updated on Oct 17, 2017.