Individual
MICHAEL D PRATHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADAC IV
Contact information
Practice address
3423 S LAFOUNTAIN ST STE C, KOKOMO, IN 46902-3857
(765) 598-4947
Mailing address
7313 BRADBURY AVE, FORT WAYNE, IN 46809-2733
(260) 267-2466
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/25/2024
Last updated
10/25/2024
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