JESSICA DEITCH NPI 1164847794

NPI Information

  • NPI: 1164847794
  • Provider Name: JESSICA DEITCH
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 12036 CANTERBURY RD
    SPRING BRANCH, TX
    ZIP 78070
  • Phone: (210) 601-6507

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NPI Details

Jessica Deitch is a mental health counselor in Spring Branch, TX. Jessica Deitch NPI is 1164847794. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

12036 CANTERBURY RD
SPRING BRANCH, TX
ZIP 78070-201
Phone: (210) 601-6507

The enumeration date for this NPI number is 2/18/2014 and was last updated on 2/18/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health67690TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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