MEDICARE: GERRY ANN KING CRADC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number	:	1043645310
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GERRY ANN KING CRADC

Provider Business Mailing Address
First Line	:	1301 VANDIVER
Second Line	:	SUITE Y
City	:	COLUMBIA
State	:	MO
Zip	:	65202
Country	:	US
Telephone Number	:	816-401-1310
Fax Number	:

Provider Business Practice Location Address
First Line	:	1301 VANDIVER DR
Second Line	:	SUITE Y
City	:	COLUMBIA
State	:	MO
Zip	:	65202-3900
Country	:	US
Telephone Number	:	816-401-1310
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/05/2013
Last Update Date	:	09/05/2013

Similar Medicare Providers

1063648335 — KRISTIE R LOVEALL M.ED., LPC
Practice Location Address:

63 OLD 63 N. , STE 105
COLUMBIA, MO
65202-3900

Practice Phone: 573-499-0011
Practice Fax:

1184059339 — NORA E FRIER CRAADC
Practice Location Address:

1301 VANDIVER DR , SUITE Y
COLUMBIA, MO
65202-3900

Practice Phone: 573-449-8338
Practice Fax: 573-449-8344

1326170895 — MRS. PATRICIA LOUISE OSBORNE
Practice Location Address:

3989 CENTRAL AVE NE , SUITE 200F
COLUMBIA HEIGHTS, MN
55421-3900

Practice Phone: 651-331-0617
Practice Fax: 612-287-9625

1174748263 — PRO-HEALTH CARE, INC
Practice Location Address:

3989 CENTRAL AVE NE , SUITE 510
COLUMBIA HEIGHTS, MN
55421-3900

Practice Phone: 763-746-8155
Practice Fax: 763-746-8154

1265769574 — PRO-HEALTH HOME CARE AGENCY, LLC
Practice Location Address:

3989 CENTRAL AVE NE , SUITE 510
COLUMBIA HEIGHTS, MN
55421-3900

Practice Phone: 763-746-8155
Practice Fax: 763-746-8154

1104143460 — NORTH MAIN KIDNEY CENTER LLC
Practice Location Address:

3900 NORTH MAIN ST
COLUMBIA, SC
29203-6445

Practice Phone: 803-779-1201
Practice Fax: 803-779-1202

Directions to “ GERRY ANN KING CRADC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.