Individual
ANTHONY BRATKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1117 W 9TH ST, TEMPE, AZ 85281-5304
(602) 402-4474
(480) 256-0947
Mailing address
1117 W 9TH ST, TEMPE, AZ 85281-5304
(602) 402-4474
(480) 256-0947
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LISAC-11892
AZ
101YM0800X
Mental Health Counselor
Primary
LPC-14567
AZ
Other
Enumeration date
06/06/2015
Last updated
06/06/2015
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