Individual
MS. GEORGE ANN STRADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CSW, LCAS
Contact information
Practice address
1542 UNION RD STE B, GASTONIA, NC 28054-2207
(704) 854-9854
(704) 854-8916
Mailing address
1542 UNION RD STE B, GASTONIA, NC 28054-2207
(704) 854-9854
(704) 854-8916
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
89
NC
104100000X
Social Worker
A000083
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1018F
BCBSNC PROVIDER NUMBER
NC
01
—
2007264
CIGNA BEHAVIORAL HLTH
NC
01
—
44887224
UNITED BEHAVIORAL HEALTH
NC
01
—
5338714
AETNA
NC
Enumeration date
12/06/2006
Last updated
02/28/2013
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