Mr Justin Deitrick, LGPC is a
Counselor - Professional based in Glenwood, Maryland. Mr Justin Deitrick is licensed to practice in Maryland (license number LGP1399) and his current practice location is
3700 Championship Dr, Glenwood, Maryland. He can be reached at his office (for appointments etc.) via phone at
(443) 472-1349.
NPI number for Mr Justin Deitrick is 1417660663 and his current mailing address is 3700 Championship Dr, Glenwood, Maryland. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1417660663.
Healthcare Provider's Profile
Full Name | Mr Justin Deitrick |
---|
Gender | Male |
---|
Speciality | Counselor - Professional |
---|
Location | 3700 Championship Dr, Glenwood, Maryland |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1417660663
- Provider Enumeration Date: 01/03/2023
- Last Update Date: 01/03/2023
Medical Identifiers
Medical identifiers for Mr Justin Deitrick such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417660663 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YS0200X | Counselor - School | (* (Not Available)) | Secondary |
101YP2500X | Counselor - Professional | LGP1399 (Maryland) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Justin Deitrick is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Justin Deitrick, LGPC 3700 Championship Dr, Glenwood, MD 21738-9311 Ph: () - | Mr Justin Deitrick, LGPC 3700 Championship Dr, Glenwood, MD 21738-9311 Ph: (443) 472-1349 |
Reviews and Comments