Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Justin Deitrick, LGPC

Individual provider School Counselor · NPI 1417660663

Mr. Justin Deitrick, LGPC is a School Counselor in Glenwood, Maryland. Licensed in Maryland. Registered with an NPI since 2023.

Licensed in
MD
In the registry since
2023
Specialties on file
2

Practice location Address checks out

3700 Championship Dr
Glenwood, MD 21738-9311
Phone: (443) 472-1349
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LGP1399 (MD)
School Counselor Taxonomy 101YS0200X

Record details

NPI number1417660663
Entity typeIndividual (Type 1)
GenderMale
Credentials LGPC
Sole proprietorNo
NPI enumeratedJanuary 3, 2023
Last updated in NPPESJanuary 3, 2023
Certification dateJanuary 3, 2023