Individual
NIADRA BLOUNT PRATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LCAS, CCS, LPCA
Contact information
Practice address
51 NC HWY 33 WEST, CHOCOWINITY, NC 27817
(252) 256-7219
(252) 364-3414
Mailing address
PO BOX 644, CHOCOWINITY, NC 27817-0644
(252) 256-7219
(252) 364-3414
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCASA20451
NC
101YM0800X
Mental Health Counselor
A15315
NC
Other
Enumeration date
09/18/2014
Last updated
12/11/2019
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