Provider Demographics
NPI:1366645251
Name:RADA, MARGARET G (LPC)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:G
Last Name:RADA
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:191 E CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-2330
Mailing Address - Country:US
Mailing Address - Phone:828-258-2112
Mailing Address - Fax:828-258-3831
Practice Address - Street 1:191 E CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-2330
Practice Address - Country:US
Practice Address - Phone:828-258-2112
Practice Address - Fax:828-258-3831
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-07
Last Update Date:2007-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5509101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6103613Medicaid