Rader, Nichole Charlene
Rader, Nichole Charlene is an sole proprietor health care provider with primary practice located at 4039 Gateway Blvd , Grovetown GA 30813-3389. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Rader, Nichole Charlene can be contacted via phone (719) 684-4090.Contact Information
Primary practice address
4039 Gateway Blvd
Grovetown GA 30813-3389
Phone: (719) 684-4090
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | ||
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC013785 | Georgia |
Profile Details
| NPI number | 1902532138 |
|---|---|
| LBN Legal business name | Rader, Nichole Charlene |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 29th, 2022 |
| Last updated | Apr 18th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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