Individual provider · Type 1 NPI
Laura Marie Shrader, PSY.D.
Addiction (Substance Use Disorder) Counselor · Stockton, CA
NPI number
1164737276
Active
Practice location
8626 Lower Sacramento Rd, Ste 41
Stockton, CA 95210-1835
Mailing address
3300 Renwick Ave, Apt. 2044
Elk Grove, CA 95758-7490
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1164737276
Laura Marie Shrader, PSY.D.'s National Provider Identifier is 1164737276, issued on Aug 12, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Stockton, CA. The record was last updated on Jan 11, 2022.