CHARLES WILLIAM RADICAN MA NPI 1790828416

NPI Information

NPI: 1790828416
Provider Name: CHARLES WILLIAM RADICAN, MA
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
1601 116TH AVE NE
STE 105
BELLEVUE, WA
ZIP 98004
Phone: (425) 802-5134
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Charles William Radican, MA is a mental health counselor in Bellevue, WA. Charles William Radican, MA NPI is 1790828416. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1601 116TH AVE NE
STE 105
BELLEVUE, WA
ZIP 98004-010
Phone: (425) 802-5134
Fax: (425) 821-3336

The enumeration date for this NPI number is 2/14/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	LH00008019	WASHINGTON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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