| 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 | 
|---|---|
| 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 | 
|---|---|
| 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: Medicare Enrolled 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  |