Provider Demographics
NPI:1578811725
Name:SHRADY, FRANCESCA LOUISE (LPCC)
Entity Type:Individual
Prefix:
First Name:FRANCESCA
Middle Name:LOUISE
Last Name:SHRADY
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3600 CERRILLOS RD STE 307B
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87507-2694
Mailing Address - Country:US
Mailing Address - Phone:505-913-0953
Mailing Address - Fax:
Practice Address - Street 1:3600 CERRILLOS RD STE 307
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87507-2694
Practice Address - Country:US
Practice Address - Phone:505-913-0953
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM0189401101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional