person
Mr. Brandon Shane Radcliffe, BS,MHP
Mental Health Counselor in Vienna, Illinois
NPI 1578707857

Brandon Shane Radcliffe is a Mental Health Counselor based in Makanda, IL and is specialized in Mental Health. Brandon Shane Radcliffe practices in Vienna, IL and has the professional credentials of BS,MHP. The NPI Number for Brandon Shane Radcliffe is 1578707857 and holds a License No. (Illinois).

The current practice location address for Brandon Shane Radcliffe is 408 E Vine St, Vienna, IL and can be reached out via phone at 618-658-2611 and via fax at 618-658-2501.

Location: 408 E Vine St, Vienna, IL, 62958-2766
person
Provider Profile Details
NPI Number
1578707857
Provider Name
Brandon Shane Radcliffe
Credential
BS,MHP
Provider Entity Type
Individual
Gender
Male
Address
408 E Vine St, Vienna, IL, 62958-2766
Phone Number
618-658-2611
Fax Number
618-658-2501
Provider Enumeration Date
04/30/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
408 E Vine St
City
State
Zip
62995-1612
Phone Number
618-658-2611
Fax Number
618-658-2501
person
Provider Business Mailing Address Details
Address
408 E Vine St
City
State
Zip
62995-1612
Phone Number
618-658-2611
Fax Number
618-658-2501
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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