Individual
MR. STEPHEN JOHN SCHRADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCP
Contact information
Practice address
2316 N COLE RD, SUITE E, BOISE, ID 83704
(208) 342-2950
(208) 323-1868
Mailing address
2316 N COLE RD, SUITE E, BOISE, ID 83704
(208) 342-2950
(208) 323-1868
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPCP347
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Q2784
BLUE CROSS
ID
Enumeration date
03/31/2006
Last updated
07/08/2007
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