Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JON VAN RADER SR., LADC
ActiveJON VAN RADER SR., LADC is a Addiction (Substance Use Disorder) Counselor healthcare provider located in BROCKTON, Massachusetts. NPI 1740604008 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · BROCKTON, MA
Registration Details
- NPI Number
- 1740604008
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 6, 2014 (12.481056890698 yrs)
- Last Updated
- Aug 7, 2014
- License
-
11760 (MA)
Practice Information
- Address
-
425 PLEASANT STBROCKTON, MA, 023012533Browse MA providers · Browse ZIP 02301
- Phone
- 5082727561
- Fax
- 5085845402
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in BROCKTON, MA
| Name | Credential | NPI |
|---|---|---|
| MS. BARBARA J EDGAR | M.S. | 1386771277 |
| SHELINA MADDREY | — | 1619192713 |
| RENEE MESSIER | — | 1932324746 |
| DEBRA ETHEL SMITH | MC | 1831317783 |
| MR. PAUL EDWARD ALLEN | — | 1255544466 |
| EFRAIN BAEZ | L.A.D.C II | 1396952149 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.