MEDICARE: MARY PAIGE SHRADER

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	101Y00000X	Counselor	A22157	NC

General Provider Information

NPI Number	:	1023963048
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY PAIGE SHRADER

Provider Business Mailing Address
First Line	:	305 BLAINE CT
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27609-4403
Country	:	US
Telephone Number	:	610-613-7787
Fax Number	:

Provider Business Practice Location Address
First Line	:	7406 CHAPEL HILL RD STE H
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27607-5039
Country	:	US
Telephone Number	:	919-263-4348
Fax Number	:

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

Provider Enumeration Date	:	03/04/2026
Last Update Date	:	03/04/2026

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Directions to “ MARY PAIGE SHRADER ” Practice Location

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