Radtke, Mary Alice

Radtke, Mary Alice is an individual health care provider with primary practice located at 5055 W Park Blvd # 400 , Plano TX 75093. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Radtke, Mary Alice can be contacted via phone (972) 824-6177.

Contact Information

Primary practice address
5055 W Park Blvd # 400 Plano TX 75093
Phone: (972) 824-6177
Fax: (972) 380-2006
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 5057 Texas
Behavioral Health & Social Service Providers / Counselor 101Y00000X 48315 Texas
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 14987 Texas

Profile Details

NPI number 1669531786
LBN Legal business name Radtke, Mary Alice
Credentials MED LPC LMFT NCC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2006
Last updated Aug 30th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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