Individual provider · Type 1 NPI

Kris George Radke, M.C., M.A.T.

Professional Counselor · Phoenix, AZ

NPI number 1801041850 Active

Practice location

1510 E Flower St
Phoenix, AZ 85014-5656

Call (602) 530-6970 Map

Mailing address

6913 W Monona Dr
Glendale, AZ 85308-8983

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC-0186 (AZ)

Professional Counselor: Definition to come...

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About NPI 1801041850

Kris George Radke, M.C., M.A.T.'s National Provider Identifier is 1801041850, issued on Nov 18, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Phoenix, AZ. The record was last updated on Nov 18, 2008.