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ESTEFANIA BERNABE RADT

Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1184144826

Individual Registrant:
 ESTEFANIA  BERNABE RADT
Gender: F
Not Sole Proprietor

Location and contact information for practice:
717 LINCOLN BLVD  VENICE, CA 90291-2845 US
Tel: (31-0) -399-9883  Fax: --

Contact information for business:
717 LINCOLN BLVD  VENICE, CA 90291-2845 US
Tel: 310-399-9883  Fax: --

Registration Information:
NPI: 1184144826
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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