Individual
CLAIRE EVELINA RADATZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
17685 JUNIPER PATH, LAKEVILLE, MN 55044-9819
(952) 214-8959
Mailing address
4496 CINNAMON RIDGE TRAIL, EAGAN, MN 55122
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
101YP2500X
MN
101YP2500X
Professional Counselor
Primary
5683
MN
Other
Enumeration date
08/27/2024
Last updated
06/18/2026
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