Individual
MELISSA RADDATZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2770 ARAPAHOE RD STE 132-1027, LAFAYETTE, CO 80026-8018
(303) 717-8094
Mailing address
2770 ARAPAHOE RD STE 132-1027, LAFAYETTE, CO 80026-8018
(303) 717-8094
(720) 802-2025
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
.0000946
CO
101YA0400X
Addiction (Substance Use Disorder) Counselor
0007964
CO
101YM0800X
Mental Health Counselor
0106394
CO
106H00000X
Marriage & Family Therapist
.0001631
CO
106H00000X
Marriage & Family Therapist
MET.1631
CO
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1386098010
NPI
CO
Enumeration date
04/19/2016
Last updated
05/12/2021
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