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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GRANT DIETRICH, LPCC, LADC

Active

GRANT DIETRICH, LPCC, LADC is a Mental Health Counselor healthcare provider located in BROOKLYN CENTER, Minnesota. NPI 1750018644 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · BROOKLYN CENTER, MN

Registration Details

NPI Number
1750018644
Provider Type
Individual
Gender
Male
NPI Issued
Aug 2, 2022 (3.9933156285484 yrs)
Last Updated
Aug 2, 2022
License
CC00991 (MN)

Practice Information

Address
6040 EARLE BROWN DR STE 100
BROOKLYN CENTER, MN, 554302561
Browse MN providers · Browse ZIP 55430
Phone
6513138080
Primary Specialty
Mental Health Counselor
101YM0800X

Other Mental Health Counselor Providers in BROOKLYN CENTER, MN

Name Credential NPI
MARTHA BORDWELL PHD 1821169962
STEVEN SCHNELL PHD 1053482513
TAMMY LYNN WOOD-BEHNKE M.A. 1427274083
KATHERINE ELIZABETH MATTSON M.A. 1104071331
MRS. PATRICIA LOUISE VAN DE VEER LPC, LPCC 1437383056
AMBER RAE MADUME BA, BS, BHRS, MS 1780970715
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.