Duane A Prather, MS, LMHC | |
1010 S 336th St, Suite 218, Federal Way, WA 98003-6385 | |
(253) 835-8983 | |
(253) 835-8987 |
Full Name | Duane A Prather |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 1010 S 336th St, Federal Way, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023165420 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | LH00004650 (Washington) | Primary |
Entity Name | Providence Health & Services Washington |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174744304 PECOS PAC ID: 6709782600 Enrollment ID: O20031211000028 |
Mailing Address | Practice Location Address |
---|---|
Duane A Prather, MS, LMHC 3219 30th St Se, Puyallup, WA 98374-2089 Ph: (253) 848-1917 | Duane A Prather, MS, LMHC 1010 S 336th St, Suite 218, Federal Way, WA 98003-6385 Ph: (253) 835-8983 |
Tyre Dulaney, Counselor Medicare: Not Enrolled in Medicare Practice Location: 33480 13th Pl S, Federal Way, WA 98003 Phone: 253-285-7101 | |
Anna Koback, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1336 S 336th St, Federal Way, WA 98003 Phone: 253-833-7444 | |
Sean Robert Reardon, COUNSELOR Counselor Medicare: Not Enrolled in Medicare Practice Location: 33455 6th Ave S Ste 2c, Federal Way, WA 98003 Phone: 253-210-4230 | |
Traia Janette Albano, Counselor Medicare: Not Enrolled in Medicare Practice Location: 33480 13th Pl S, Federal Way, WA 98003 Phone: 253-214-3306 | |
Jennifer J Mcdaniel, LMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 31919 1st Ave S, Suite 203, Federal Way, WA 98003 Phone: 703-389-6309 | |
Niles Woods, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1336 S 336th St, Federal Way, WA 98003 Phone: 253-833-7444 |