Radeker, Linda Smoot

Radeker, Linda Smoot is an individual health care provider with primary practice located at 201 W Marion St Suite 321, Charleston Place Mall, Shelby NC 28150-5091. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Radeker, Linda Smoot can be contacted via phone (704) 487-1055.

Contact Information

Primary practice address
201 W Marion St Suite 321, Charleston Place Mall Shelby NC 28150-5091
Phone: (704) 487-1055
Fax: (704) 487-1056
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC 2260 North Carolina

Profile Details

NPI number 1568519536
LBN Legal business name Radeker, Linda Smoot
Credentials M. A. , LPC, MAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2007
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568519536 NPPES
North Carolina MEDICAID 6102236

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