Individual
MRS. MONIQUE F SCHRADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MALPC
Contact information
Practice address
15899 LOGANS LAKE RD, BOONVILLE, MO 65233-2866
(660) 882-2333
(660) 882-2333
Mailing address
16942 HOLIDAY CIR, BOONVILLE, MO 65233-3529
(660) 882-2333
(660) 882-2333
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2005038682
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1538204904
BOONVILLE LOCATION NPI
MO
01
—
1649269622
BILLING NPI
MO
Enumeration date
04/11/2006
Last updated
07/13/2007
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