Individual
MS. MADELYN B SCHRADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN MA LPC
Contact information
Practice address
429 CARLISLE DR, SUITE B, HERNDON, VA 20170-5606
(703) 866-2106
Mailing address
429 CARLISLE DR, SUITE B, HERNDON, VA 20170-5606
(703) 402-3527
(703) 471-0365
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701004204
VA
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
0001110378
VA
Other
Enumeration date
07/21/2006
Last updated
12/28/2008
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