Individual
MARY RADER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2330 BURNT HICKORY RD NW, MARIETTA, GA 30064-1324
(706) 888-8222
Mailing address
120 ACKLIN LN, ACWORTH, GA 30102-0107
(770) 367-0074
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC006566
GA
101YM0800X
Mental Health Counselor
Primary
LPC012563
GA
Other
Enumeration date
12/17/2020
Last updated
03/11/2026
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