Individual
RAFAEL RADILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 E 13TH ST, MERCED, CA 95341-6211
(209) 381-6800
Mailing address
301 E 13TH ST, MERCED, CA 95341-6211
(209) 381-6800
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
09/24/2019
Last updated
09/27/2019
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