Mr Justin Deitrick, LGPC in Glenwood, MD

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.

Contact Information

	Mr Justin Deitrick, LGPC
	3700 Championship Dr, Glenwood, MD 21738-9311
	(443) 472-1349
	Not Available

Map and Direction

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

Counselor in Glenwood, MD

Shaina Taylor, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2480 Roxbury Mills Rd Ste 10, Glenwood, MD 21738 Phone: 410-489-3737 Fax: 410-489-3738
Ms. Amy H Rianhard, M.ED, BCBA Counselor Medicare: Not Enrolled in Medicare Practice Location: 3567 Cattail Creek Dr, Glenwood, MD 21738 Phone: 410-489-4769

Mr Justin Deitrick, LGPC - Counselor in Glenwood, MD