Individual
JOELLE LYN DRADER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D., M.A., L.P.C.
Contact information
Practice address
413 WAUKAZOO AVE, PETOSKEY, MI 49770-2619
(231) 622-5156
Mailing address
413 WAUKAZOO AVE, PETOSKEY, MI 49770-2619
(231) 622-5156
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401013059
MI
208D00000X
General Practice Physician
4301068311
MI
Other
Enumeration date
02/06/2008
Last updated
11/14/2015
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