Individual provider · Type 1 NPI

Laci Prather, CADC-II

Addiction (Substance Use Disorder) Counselor · Modesto, CA

NPI number 1154963916 Active

Practice location

1405 11th St
Modesto, CA 95354-0748

Call (209) 284-0970 Map

Mailing address

1030 California Ave
Modesto, CA 95351-2102

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1154963916

Laci Prather, CADC-II's National Provider Identifier is 1154963916, issued on Oct 14, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Modesto, CA. The record was last updated on Feb 4, 2025.