| Jay Schrader, Lmhc | |
|
587 S Duncan Ave Clearwater FL 33756-6256 | |
| (727) 446-8142 | |
| (727) 466-0818 |
| Full Name | Jay Schrader, Lmhc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 587 S Duncan Ave, Clearwater, Florida |
| Authorized Official Name and Position | Jay C Schrader (OWNER) |
| Authorized Official Contact | 7274468142 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jay Schrader, Lmhc 587 S Duncan Ave Clearwater FL 33756-6256 Ph: (727) 446-8142 | Jay Schrader, Lmhc 587 S Duncan Ave Clearwater FL 33756-6256 Ph: (727) 446-8142 |
| NPI Number | 1396159331 |
|---|---|
| Provider Enumeration Date | 06/18/2014 |
| Last Update Date | 06/18/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396159331 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CAP388 (Florida) | Secondary |
| 101YM0800X | Counselor - Mental Health | MH4553 (Florida) | Primary |
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