Most Relevant Information
Provider Data
| NPI Number: | 1003506585 |
| Provider Name: | SAMANTHA RADEL |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/09/2023 |
| Last Updated: | 05/09/2023 |
Provider Practice Location
589 W BAGLEY RD
BEREA
OH
440171328
Practice Location Phone/Fax
| Phone: | 2162020702 |
| Fax: |
Provider Mailing Location
3611 ROCKY RIVER DR
CLEVELAND
OH
441113935
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |