Individual ProviderMichael Rader JrCounselorBehavioral Health & Social Service ProvidersPractice Address1240 W Owens Ave Ste 1, Las Vegas, NV 89106-2452(725) 204-8828PECOS EnrollmentBased on the most recent information from CMS, provider Michael Rader Jr does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1124883244Provider TypeIndividualFull NameRader Jr, MichaelGenderMaleSole ProprietorYesEnumeration Date2/19/2024Last Updated2/19/2024Contact InformationPractice LocationPractice Address1240 W Owens Ave Ste 1, Las Vegas, NV 89106-2452Phone(725) 204-8828FaxUnlisted FaxMailing LocationMailing Address910 Morgan Ave, Las Vegas, NV 89106-3436PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer