Individual provider · Type 1 NPI

Michael Patke, RADT-I

Counselor · San Diego, CA

NPI number 1912819764 Active

Practice location

1530 Dale St
San Diego, CA 92102-1519

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XR1608530425 (CA)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1912819764

Michael Patke, RADT-I's National Provider Identifier is 1912819764, issued on Sep 17, 2026. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in San Diego, CA. The record was last updated on Sep 17, 2026.