| Doctor Name: | DUANE A. PRATHER |
| NPI Number: | 1023165420 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MS, LMHC |
| License Number: | LH00004650 |
| Business Practice Address: | 1010 S 336th St Suite 218 Federal Way, WA - 980036385 |
| Business Phone Number: | 2538358983 |
| Business Fax Number: | 2538358987 |
| Mailing Address: | 3219 30th St Se, PUYALLUP |
| State: | WA |
| Postal Code: | 983742089 |
| Phone Number: | 2538481917 |
| Fax Number: | |
| NPI Enumeration Date: | 01/05/2007 |
| NPI Last Update Date: | 09/08/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | LH00004650 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |