Mr. Keith Leslie Deraad, CPRP
Mr. Keith Leslie Deraad, CPRP is a Mental Health Counselor in Minneapolis, Minnesota. Practices as a sole proprietor. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
1825 Chicago AveMinneapolis, MN 55404-1939
Phone: (612) 752-8246
Fax: (612) 752-8203
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1063532216 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CPRP |
| Sole proprietor | Yes |
| NPI enumerated | March 30, 2007 |
| Last updated in NPPES | July 8, 2007 |
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