Individual
BETH ELLEN PRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PRS
Contact information
Practice address
452 W MARKET ST, XENIA, OH 45385-2815
(937) 376-8700
(937) 376-8725
Mailing address
1400 US ROUTE 22 NW, WASHINGTON COURT HOUSE, OH 43160
(740) 335-7282
(740) 335-6802
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA184398
OH
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
000942
OH
Other
Enumeration date
08/15/2022
Last updated
09/28/2023
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