Individual provider · Type 1 NPI

Matthew A. Pratt, LPC-IT

Professional Counselor · Waukesha, WI

NPI number 1912619495 Active

Practice location

2727 N Grandview Blvd Ste 203
Waukesha, WI 53188-1671

Mailing address

4155 S Lake Dr Apt 7
St. Francis, WI 53235-5925

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X7135-226 (WI)

Professional Counselor: Definition to come...

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About NPI 1912619495

Matthew A. Pratt, LPC-IT's National Provider Identifier is 1912619495, issued on Dec 16, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Waukesha, WI. The record was last updated on Dec 16, 2022.