Individual provider · Type 1 NPI

Jan Radke, M.A., M.F.T

Marriage & Family Therapist · Santa Rosa, CA

NPI number 1114205192 Active

Practice location

1023 College Ave
Santa Rosa, CA 95404-4112

Call (707) 486-0306 Map

Mailing address

1654 Hopper Ave
Santa Rosa, CA 95403-8600

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XMFT20457 (CA)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1114205192

Jan Radke, M.A., M.F.T's National Provider Identifier is 1114205192, issued on Jul 25, 2011. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Santa Rosa, CA. The record was last updated on Jul 25, 2011.