Individual
BRENT SCHRADER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1900 WESTRIDGE RD, CARLSBAD, NM 88220-3550
(575) 725-5552
Mailing address
1900 WESTRIDGE RD, CARLSBAD, NM 88220-3550
(575) 725-5552
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-08687
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
84501278NM
—
NM
Enumeration date
07/11/2006
Last updated
01/11/2022
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