Individual
ANDREA K RADICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
807 LAWN AVE, SELLERSVILLE, PA 18960-1549
(215) 257-6551
(215) 453-5181
Mailing address
259 PARK AVE, HARLEYSVILLE, PA 19438-1854
(267) 718-1493
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
174400000X
Specialist
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09619620
PDE COUNSELOR CERTIFICATION
PA
Enumeration date
05/18/2007
Last updated
07/10/2010
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