Individual
MRS. WANDA IVELISSE SCHRADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ICADC, CADAC II
Contact information
Practice address
18425 PONY EXPRESS DR UNIT 203, PARKER, CO 80134-9605
(303) 805-1218
Mailing address
18425 PONY EXPRESS DR UNIT 203, PARKER, CO 80134-9605
(303) 805-1218
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
IN
Other
Enumeration date
12/12/2020
Last updated
12/12/2020
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