Individual provider · Type 1 NPI

Deitrick Middleton

Mental Health Counselor · Charleston, SC

NPI number 1679015754 Active

Practice location

2100 Charlie Hall Blvd
Charleston, SC 29414-5832

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1679015754

Deitrick Middleton's National Provider Identifier is 1679015754, issued on Nov 7, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Charleston, SC. The record was last updated on Nov 7, 2016.