Individual
MELODIE PRATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
413 HISTORIC 66 W, WAYNESVILLE, MO 65583-2114
(573) 774-4198
(573) 774-4951
Mailing address
111 GLEN HAVEN DR, WAYNESVILLE, MO 65583-2496
(573) 774-1053
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2005028654
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
497513804
—
MO
Enumeration date
03/12/2007
Last updated
12/08/2008
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