Organization
STRADER REHABILITATION AND CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACK LEE STRADER MS, CRC, LPC (OWNER)
(618) 346-6641
Entity
Organization
Contact information
Practice address
106 W MAIN ST, COLLINSVILLE, IL 62234-3015
(618) 346-6641
(618) 346-6638
Mailing address
106 W MAIN ST, COLLINSVILLE, IL 62234-3015
(618) 346-6641
(618) 346-6638
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
IL
Other
Enumeration date
01/08/2008
Last updated
07/21/2022
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