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Individual

JADE PRATHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
411 COURT ST, PORTSMOUTH, OH 45662-3932
(740) 354-6685
Mailing address
411 COURT ST, PORTSMOUTH, OH 45662-3932
(740) 354-6685

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDCII.162149
OH
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
RN.527316
OH
164W00000X
Licensed Practical Nurse
LPN.148771.MEDS-IV
OH

Other

Enumeration date
10/26/2023
Last updated
10/29/2025
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