Individual
JOSHUA PRANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADAC II, MATS
Contact information
Practice address
6017 STONEY CREEK DR, FORT WAYNE, IN 46825-4410
(260) 267-5159
Mailing address
6017 STONEY CREEK DR, FORT WAYNE, IN 46825-4410
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/25/2021
Last updated
10/25/2021
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