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Dennis Edward Bradtke, NA
Peer Specialist in Santee, California
NPI 1700512084

Dennis Edward Bradtke is a Peer Specialist based in Santee, CA. Dennis Edward Bradtke practices in Santee, CA and has the professional credentials of NA. The NPI Number for Dennis Edward Bradtke is 1700512084 and holds a License No. (California).

The current practice location address for Dennis Edward Bradtke is 10201 Mission Gorge Rd, Santee, CA and can be reached out via phone at 619-383-6868 and via fax at 619-312-2661.

Location: 10201 Mission Gorge Rd, Santee, CA, 92071-3027
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700512084
Provider Name
Dennis Edward Bradtke
Credential
NA
Provider Entity Type
Individual
Gender
Male
Address
10201 Mission Gorge Rd, Santee, CA, 92071-3027
Phone Number
619-383-6868
Fax Number
619-312-2661
Provider Enumeration Date
07/28/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NA 01 NA
institution
Provider Business Practice Location Address Details
Address
10201 Mission Gorge Rd
City
Santee
State
California
Zip
92071-3027
Phone Number
619-383-6868
Fax Number
619-312-2661
person
Provider Business Mailing Address Details
Address
10201 Mission Gorge Rd
City
Santee
State
California
Zip
92071-3027
Phone Number
619-383-6868
Fax Number
619-312-2661
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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