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Laci Prather, RADT1
Addiction (Substance Use Disorder) Counselor in Modesto, California
NPI 1154963916

Laci Prather is an Addiction (Substance Use Disorder) Counselor based in Modesto, CA and is specialized in Addiction (Substance Use Disorder). Laci Prather practices in Modesto, CA and has the professional credentials of RADT1. The NPI Number for Laci Prather is 1154963916 and holds a License No. (California).

The current practice location address for Laci Prather is 1405 11Th St, Modesto, CA and can be reached out via phone at 209-284-0970.

Location: 1405 11Th St, Modesto, CA, 95351-2102
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154963916
Provider Name
Laci Prather
Credential
RADT1
Provider Entity Type
Individual
Gender
Female
Address
1405 11Th St, Modesto, CA, 95351-2102
Phone Number
209-284-0970
Fax Number
Provider Enumeration Date
10/14/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1405 11Th St
City
Modesto
State
California
Zip
95354-0748
Phone Number
209-284-0970
Fax Number
person
Provider Business Mailing Address Details
Address
1405 11Th St
City
Modesto
State
California
Zip
95354-0748
Phone Number
209-284-0970
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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