Organization
ANTHONY BRATKO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY JOHN BRATKO MSC, LPC, LISAC (THERAPIST)
(602) 402-4474
Entity
Organization
Contact information
Practice address
1117 W 9TH ST, TEMPE, AZ 85281-5304
(602) 402-4474
Mailing address
1117 W 9TH ST, TEMPE, AZ 85281-5304
(602) 402-4474
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
LISAC-11892
AZ
261QM0850X
Adult Mental Health Clinic/Center
Primary
LPC-14567
AZ
Other
Enumeration date
01/21/2015
Last updated
01/21/2015
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