Organization
STRADER REHABILITATION AND CONSULTING
Active
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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