DADRA LOCKRIDGE
NPI 1942942636
Counselor - Pastoral in Racine, WI
Active since April 12, 2022
About Dadra Lockridge NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DADRA LOCKRIDGE (NPI 1942942636) is an individual pastoral provider in Racine, Wisconsin and active in the NPI registry since April 2022.
NPPES Registry Identity
NPI1942942636
Entity TypeIndividualFemale
Primary Taxonomy101YP1600X
Provider Legal NameDADRA LOCKRIDGE
Location Address1602 WEST STRacine, WI 53404-3020
Mailing Address1602 West StRacine, WI 53404-3020 · (262) 417-7349
Phone(262) 417-7349
Sole ProprietorYes
Enumeration DateApril 12, 2022
NPPES CertifiedApril 12, 2022
✔ NPI 1942942636 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · PastoralBehavioral Health & Social Service Providers
Taxonomy Code101YP1600X
1602 WEST ST, Racine, WI 53404
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1942942636, enumerated as an "individual" on April 12, 2022.
The provider is located at 1602 WEST ST RACINE, WI 53404 and the phone number is (262) 417-7349.
Counselor with taxonomy code 101YP1600X and a focus in Pastoral.
