Individual
MRS. NATESHA SCHWADERER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCADC
Contact information
Practice address
107 CIRCLE DRIVE, CROWNSVILLE, MD 21032-2061
(443) 598-6900
(410) 923-6781
Mailing address
107 CIRCLE DRIVE, CROWNSVILLE, MD 21032-2061
(443) 598-6900
(410) 923-6781
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCA2295
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851838643
—
MD
Enumeration date
08/12/2016
Last updated
09/28/2022
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