Individual
GINGER L. RADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 E 15TH ST, SUITE 102, EDMOND, OK 73013-5043
(405) 285-9880
(405) 285-9877
Mailing address
501 E 15TH ST, SUITE 102, EDMOND, OK 73013-5043
(405) 285-9880
(405) 285-9877
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
473
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
473
OKLAHOMA BOARD OF LICENSED ALCOHOL & DRUG COUNSELORS
OK
Enumeration date
07/11/2008
Last updated
07/11/2008
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