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Provider Information for 1770991317


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KATHRYN ANN PRATT MA, LADC, LPCC


Sex: Female

NPI: 1770991317
Last Updated: 2022-07-21
Certification Date: 2022-07-21

Details

NameValue
NPI1770991317
Enumeration Date2014-07-28
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 1900 SILVER LAKE RD NW
110
NEW BRIGHTON, MN 55112-1786
United States

Phone: 651-379-1718 | Fax:651-379-1738
 
Primary Practice Address 7300 147TH ST W
204
APPLE VALLEY, MN 55124-7541
United States

Phone: 952-997-3020 | Fax:952-997-3026
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 101YM0800X - Counselor - Mental HealthMN3424
Yes 101YA0400X - Counselor - Addiction (Substance Use Disorder)MN303231