JAN RADKE, M.A., M.F.T,

Marriage & Family Therapist

Active Individual
NPI: 1114205192

Practice Address

1023 COLLEGE AVE
Santa Rosa, CA 95404

Phone: (707) 486-0306

Specialties

Specialty Code Primary License
Marriage & Family Therapist 106H00000X Yes MFT20457 (CA)

Frequently Asked Questions

NPI 1114205192 is the National Provider Identifier for JAN RADKE, M.A., M.F.T,, a Marriage & Family Therapist provider located in Santa Rosa, CA. This NPI was enumerated on July 25, 2011.
JAN RADKE, M.A., M.F.T, practices at 1023 COLLEGE AVE, Santa Rosa, CA 95404.

Quick Facts

NPI
1114205192
Type
Individual
Enumerated
Jul 25, 2011
Last Updated
Jul 25, 2011

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