person
Mr. Kris George Radke, MC,MAT
Professional Counselor in Phoenix, Arizona
NPI 1801041850

Kris George Radke is a Professional Counselor based in Glendale, AZ and is specialized in Professional. Kris George Radke practices in Phoenix, AZ and has the professional credentials of MC,MAT. The NPI Number for Kris George Radke is 1801041850 and holds a License No. LPC-0186 (Arizona).

The current practice location address for Kris George Radke is 1510 E Flower St, Phoenix, AZ and can be reached out via phone at 602-530-6970.

Location: 1510 E Flower St, Phoenix, AZ, 85308-8983
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Provider Profile Details
NPI Number
1801041850
Provider Name
Kris George Radke
Credential
MC,MAT
Provider Entity Type
Individual
Gender
Male
Address
1510 E Flower St, Phoenix, AZ, 85308-8983
Phone Number
602-530-6970
Fax Number
Provider Enumeration Date
11/18/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LPC-0186 01 AZ LICENSE FOR PROFESSIONAL COUNSELOR
institution
Provider Business Practice Location Address Details
Address
1510 E Flower St
City
State
Zip
85014-5656
Phone Number
602-530-6970
Fax Number
person
Provider Business Mailing Address Details
Address
1510 E Flower St
City
State
Zip
85014-5656
Phone Number
602-530-6970
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LPC-0186 (Arizona)
Definition
Definition to come...
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