Michael Sylvester Radonski
Counselor, Professional in Warr Acres, OK. Individual provider (NPI-1).
NPI number1942819081
StatusActive
Last updated in NPPESSep 8, 2024
Details
- NPI
- 1942819081
- Entity type
- Individual (NPI-1)
- Name
- Michael Sylvester Radonski
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 24, 2020
- Certification date
- Sep 8, 2024
- Last updated
- Sep 8, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 7311 | OK | Yes |
| 101YM0800X | Counselor, Mental Health | LCSW-16148 | AZ |
Practice location
5601 Nw 72nd St Ste 260mWarr Acres, OK 73132-5931
Phone 405-676-1072
Mailing address
5601 Nw 72nd St Ste 260mWarr Acres, OK 73132-5931
Phone 405-676-1072
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