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NPI Code Detail

MEDICARE: RACHEL RADFORD PLPC

MEDICARE:   RACHEL  RADFORD  PLPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor

General Provider Information

NPI Number : 1104657758
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL RADFORD PLPC
Provider Business Mailing Address
First Line : 1615 HAMPTON AVE APT 17
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63139-3045
Country : US
Telephone Number : 314-793-2461
Fax Number :
Provider Business Practice Location Address
First Line : 9666 OLIVE BLVD STE 510
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63132-3026
Country : US
Telephone Number : 314-991-0100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2024
Last Update Date : 08/13/2024

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Directions to “ RACHEL RADFORD PLPC” Practice Location

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