Individual
EUGENE SCHRADER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11111 HOUZE RD STE 320, ROSWELL, GA 30076-1464
(404) 630-9719
Mailing address
24 DEEPWATER CT, DAWSONVILLE, GA 30534-7188
(770) 998-0989
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0177
GA
Other
Enumeration date
07/14/2021
Last updated
07/14/2021
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