Individual
MRS. KADOTTIE MIRIAM SHRADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHCA
Contact information
Practice address
4411 WASHINGTON AVE, SUITE 300, EVANSVILLE, IN 47714
(812) 479-1916
(812) 479-5014
Mailing address
4411 WASHINGTON AVE, SUITE 300, EVANSVILLE, IN 47714
(786) 878-9009
(812) 479-5014
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
169198
KY
Other
Enumeration date
09/26/2016
Last updated
03/28/2019
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