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Individual

CASEY RADLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.ED., LPC

Contact information

Practice address
1501 CROCKER ST., SUITE 1, HOUSTON, TX 77019-4322
(832) 209-2222
Mailing address
1501 CROCKER ST., SUITE 1, HOUSTON, TX 77019-4322

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
66574
TX
101YP2500X
Professional Counselor
66574
TX

Other

Enumeration date
10/11/2012
Last updated
10/11/2012
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