| Mary Radaker, LPC | |
| 370 North Seneca St, Oil City, PA 16301 | |
| (814) 676-2804 | |
| (814) 676-2804 | 
| Full Name | Mary Radaker | 
|---|---|
| Gender | Female | 
| Speciality | Counselor - Professional | 
| Location | 370 North Seneca St, Oil City, Pennsylvania | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1235505157 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YP2500X | Counselor - Professional | PC008134 (Pennsylvania) | Primary | 
| 106H00000X | Marriage & Family Therapist | PC008134 (Pennsylvania) | Secondary | 
| Entity Name | Clarion Family Therapy Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1366863870 PECOS PAC ID: 6103040605 Enrollment ID: O20140623002209 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mary Radaker, LPC Po Box 449, Seneca, PA 16346-0449 Ph: (814) 676-2804 | Mary Radaker, LPC 370 North Seneca St, Oil City, PA 16301 Ph: (814) 676-2804 | 
| Miranda Reinsel,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 815 Grandview Rd, Oil City, PA 16301 Phone: 814-676-5614 | |
| Billie Schwab, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 815 Grandview Road, Oil City, PA 16301 Phone: 814-676-5614 Fax: 814-677-5760 | |
| Jacy Blum, MPH Counselor Medicare: Not Enrolled in Medicare Practice Location: 815 Grandview Rd, Oil City, PA 16301 Phone: 814-676-5614 | |
| June Marie Rice, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 337 Old Kahle Rd, Oil City, PA 16301 Phone: 814-677-3069 Fax: 814-677-3069 | |
| Heather Guthrie,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 815 Grandview Rd, Oil City, PA 16301 Phone: 814-676-5614 Fax: 814-677-5760 | |
| Jennifer Moon, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 815 Grandview Road, Oil City, PA 16301 Phone: 814-676-5614 Fax: 814-677-5760 | |
| Christine Blondheim, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 815 Grandview Road, Oil City, PA 16301 Phone: 814-676-5614 Fax: 814-677-5760 |