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NPI Profile for TODD BADER in EVANSTON, WY.
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master?s degree and clinical experience and supervision for licensure or certification.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Counselor |
101Y00000X | |||
Addiction (Substance Use Disorder) |
101YA0400X | |||
Professional |
101YP2500X |
| NPI # | 1083941389 |
|
| Status | Active | |
| Credentials | MA,LPC | |
| Entity | Individual | |
| Enumeration date | 11/06/2009 | |
| Last updated | 10/23/2012 - About 14 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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TODD BADER
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TODD BADER, MA,LPC