Individual
ANGELA STRADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
1425 S 700 E # 102, SLC, UT 84105-2125
(801) 652-7012
Mailing address
PO BOX 575746, MURRAY, UT 84157-5746
(801) 652-7012
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
12894556-3502
UT
101YM0800X
Mental Health Counselor
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/05/2018
Last updated
01/18/2023
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