Todd Bader, MA,LPC

NPI #1083941389 in Evanston, Wyoming

Provider Information

NPI Number: 1083941389
Entity Type: Individual
Name: Todd Bader, MA,LPC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Credential: MA,LPC
Enumeration Date: Nov 6, 2009
Last Updated: Oct 23, 2012

Practice Location

Address: 724 FRONT ST
Address 2: SUITE 511
City: Evanston
State: Wyoming
ZIP Code: 82931
Phone: (307) 799-8640

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor - Professional — Professional	101YP2500X
Counselor	101Y00000X	Primary

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