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Individual
JADE PRATHER
Active
Individual
JADE PRATHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDCII.162149
OH
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
RN.527316
OH
164W00000X
Licensed Practical Nurse
LPN.148771.MEDS-IV
OH
Other
Enumeration date
10/26/2023
Last updated
10/29/2025
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