| Doctor Name: | LISA HUNT RADER |
| NPI Number: | 1124138532 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 0701003213 |
| Business Practice Address: | 340 Hospital Dr Warrenton, VA - 201863006 |
| Business Phone Number: | 5403477620 |
| Business Fax Number: | 5403490644 |
| Mailing Address: | Po Box 1568, CULPEPER |
| State: | VA |
| Postal Code: | 227016568 |
| Phone Number: | 5408253100 |
| Fax Number: | 5408256245 |
| NPI Enumeration Date: | 08/30/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 0701003213 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |