Individual
MS. LINDA SMOOT RADEKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. A. , LPC, MAC
Contact information
Practice address
201 W MARION ST, SUITE 321, CHARLESTON PLACE MALL, SHELBY, NC 28150-5091
(704) 487-1055
(704) 487-1056
Mailing address
201 W MARION ST, SUITE 321, CHARLESTON PLACE MALL, SHELBY, NC 28150-5091
(704) 487-1055
(704) 487-1056
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC 2260
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6102236
—
NC
Enumeration date
01/04/2007
Last updated
07/09/2007
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