# GREGORY M DEITCHLER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1013196716
- **Gender:** Man
- **Credential:** MA L.M.F.T., L.P.C.,

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | LPC-949 | ID | — |
| 101YP2500X | Professional Counselor | LPC949 | ID | — |
| 106H00000X | Marriage & Family Therapist | LMFT2935 | ID | Yes |

## Other

- **Enumeration date:** 10/30/2007
- **Last updated:** 01/28/2019
