Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | LC4450 | MD |
NPI | 1003177890 |
---|---|
Provider Name | Ms. Christine C Prather |
First Address | Landenberg, PA 19350-9117 |
Second Address | Elkton, MD 21921-4719 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2012 |
Last Update Date | 07/06/2012 |