Individual provider · Type 1 NPI
Wanda Ivelisse Schrader, ICADC, CADAC II
Addiction (Substance Use Disorder) Counselor · Parker, CO
NPI number
1114513322
Active
Practice location
18425 Pony Express Dr Unit 203
Parker, CO 80134-9605
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
2 other providers at this address
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About NPI 1114513322
Wanda Ivelisse Schrader, ICADC, CADAC II's National Provider Identifier is 1114513322, issued on Dec 12, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Parker, CO. The record was last updated on Dec 12, 2020.