MR. Keith Leslie Deraad, CPRP is a mental health counselor in Minneapolis, MN. MR. Keith Leslie Deraad, CPRP NPI is 1063532216. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1825 CHICAGO AVE
MINNEAPOLIS, MN
ZIP 55404-939
Phone: (612) 752-8246
Fax: (612) 752-8203
The enumeration date for this NPI number is 3/30/2007 and was last updated on 7/8/2007.