GRANT DIETRICH

BROOKLYN CENTER, MN
NPI1750018644
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: MN  cc00991)
Enumeration Date2022-08-02
Last Update Date2022-08-02
Business Address
GRANT DIETRICH LPCC, LADC
6040 EARLE BROWN DR STE 100
BROOKLYN CENTER, MN 55430-2561
Phone number: 651-313-8080
Mailing Address
GRANT DIETRICH LPCC, LADC
3189 COUNTRYSIDE AVE UNIT F
WOODBURY, MN 55129-7837
Phone number: 651-746-9131
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