Individual
MS. RADKA JURKECH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED LMFT
Contact information
Practice address
280 N. PROVIDENCE RD., SUITE 106, MEDIA, PA 19063
(215) 618-1535
Mailing address
PO BOX 342, SWARTHMORE, PA 19081
(215) 618-1535
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MF000406
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
493672000
MAGELLAN
PA
Enumeration date
12/12/2006
Last updated
08/14/2019
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