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John Edward Prater SR.
Addiction (Substance Use Disorder) Counselor in Pomona, California
NPI 1164065041

John Edward Prater SR. is an Addiction (Substance Use Disorder) Counselor based in Highland, CA and is specialized in Addiction (Substance Use Disorder). John Edward Prater SR. practices in Pomona, CA. The NPI Number for John Edward Prater SR. is 1164065041 and holds a License No. (California).

The current practice location address for John Edward Prater SR. is 1050 N Garey Ave, Pomona, CA and can be reached out via phone at 909-623-6391 and via fax at 909-620-9491. You can also correspond with John Edward Prater SR. through the mailing address at 2435 CIENEGA DR, HIGHLAND, CA - 92346-2295 (mailing address contact number: 219-221-2459).

Location: 1050 N Garey Ave, Pomona, CA, 92346-2295
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164065041
Provider Name
John Edward Prater SR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
1050 N Garey Ave, Pomona, CA, 92346-2295
Phone Number
909-623-6391
Fax Number
909-620-9491
Provider Enumeration Date
10/23/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1050 N Garey Ave
City
Pomona
State
California
Zip
91767-3802
Phone Number
909-623-6391
Fax Number
909-620-9491
person
Provider Business Mailing Address Details
Address
1050 N Garey Ave
City
Pomona
State
California
Zip
91767-3802
Phone Number
909-623-6391
Fax Number
909-620-9491
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
14576-RAC (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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