| NPI | 1356522569 |
|---|---|
| Other Name | JEFF PRATHER |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW00006530) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 53110) |
| 1041C0700X Social Worker, Clinical (Licence: OR L6631) | |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2019-04-03 |