Individual
BENJAMIN M RADER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
933 N MAYFAIR RD STE 101, WAUWATOSA, WI 53226-3432
(773) 398-4648
(414) 249-5443
Mailing address
933 N MAYFAIR RD STE 101, WAUWATOSA, WI 53226-3432
(773) 398-4648
(414) 249-5443
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
12/04/2008
Last updated
01/12/2019
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