Individual
MS. ADRIENNE PAIGE RADTKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
1218 GRIEGOS RD NW, ALBUQUERQUE, NM 87107-3752
(505) 342-5939
Mailing address
785 TRAMWAY PL NE APT B, ALBUQUERQUE, NM 87122-1620
(505) 363-9476
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0120401
NM
101YM0800X
Mental Health Counselor
Primary
0120401
NM
Other
Enumeration date
01/20/2010
Last updated
01/20/2010
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