Doctor Name: | KRISTINE ANN RADLOFF |
NPI Number: | 1134434012 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. LPC |
License Number: | 212734 |
Business Practice Address: | 111 Market St Winona, MN - 559875532 |
Business Phone Number: | 5074525033 |
Business Fax Number: | 5074525183 |
Mailing Address: | 358 W 8th St, WINONA |
State: | MN |
Postal Code: | 559872903 |
Phone Number: | 5074295357 |
Fax Number: | |
NPI Enumeration Date: | 08/16/2010 |
NPI Last Update Date: | 08/16/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 212734 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |