Individual
MISS KRISTINE ERIKA SCHRADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
1950 N OKMULGEE AVE., OKMULGEE, OK 74447-6534
(918) 756-7700
(918) 756-3347
Mailing address
1950 N OKMULGEE AVE., OKMULGEE, OK 74447-6534
(918) 756-7700
(918) 756-3347
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
178.005728
IL
101YM0800X
Mental Health Counselor
178.005728
IL
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
01/06/2011
Last updated
11/13/2012
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