Doctor Name: | MRS. LORI RENEE RADFORD |
NPI Number: | 1003153446 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PLPC |
License Number: | 2012040744 |
Business Practice Address: | 1041 E Walnut St Springfield, MO - 658062604 |
Business Phone Number: | 4174592117 |
Business Fax Number: | |
Mailing Address: | 3379 State Highway O, HIGHLANDVILLE |
State: | MO |
Postal Code: | 656698172 |
Phone Number: | 4174345105 |
Fax Number: | |
NPI Enumeration Date: | 01/04/2013 |
NPI Last Update Date: | 01/04/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 2012040744 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |