Individual provider · Type 1 NPI

Grant Dietrich, LPCC, LADC

Mental Health Counselor · Brooklyn Center, MN

NPI number 1750018644 Active

Practice location

6040 Earle Brown Dr Ste 100
Brooklyn Center, MN 55430-2561

Call (651) 313-8080 Map

Mailing address

3189 Countryside Ave Unit F
Woodbury, MN 55129-7837

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XCC00991 (MN)

Mental Health Counselor: Definition to come...

10 other providers at this address

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About NPI 1750018644

Grant Dietrich, LPCC, LADC's National Provider Identifier is 1750018644, issued on Aug 2, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Brooklyn Center, MN. The record was last updated on Aug 2, 2022.