Provider Demographics
NPI:1174816649
Name:SCHRADER, KARI ANNE
Entity Type:Individual
Prefix:
First Name:KARI
Middle Name:ANNE
Last Name:SCHRADER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 OREGON AVE STE 111
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98409-7461
Mailing Address - Country:US
Mailing Address - Phone:253-302-5236
Mailing Address - Fax:253-697-3730
Practice Address - Street 1:15 OREGON AVE STE 111
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98409-7461
Practice Address - Country:US
Practice Address - Phone:253-302-5236
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-17
Last Update Date:2022-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health