Ethan Radatz

NPI #1316591019 in Lorain, Ohio

Provider Information

NPI Number: 1316591019
Entity Type: Individual
Name: Ethan Radatz
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Jul 31, 2019
Last Updated: Jan 10, 2020

Practice Location

Address: 6140 S BROADWAY
City: Lorain
State: Ohio
ZIP Code: 44053-3821
Phone: (440) 233-7232

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Case Manager/Care Coordinator	171M00000X	Primary

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