Individual
PRATHER STINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDP
Contact information
Practice address
6450 SOUTHCENTER BLVD STE 106, TUKWILA, WA 98188-2552
(206) 466-5122
(206) 453-4404
Mailing address
PO BOX 2429, LONGVIEW, WA 98632-8486
(360) 353-9494
(360) 353-9440
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP-61458277
WA
101YM0800X
Mental Health Counselor
MC61493372
WA
Other
Enumeration date
10/22/2019
Last updated
11/07/2023
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