Most Relevant Information
Provider Data
| NPI Number: | 1003354002 |
| Provider Name: | SOPHIA ELIZABETH PRATER ATR, LPC, CSAC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | 16619-132 |
Most Important Dates
| Enumeration Date: | 02/09/2017 |
| Last Updated: | 01/27/2023 |
Provider Practice Location
3805B SPRING ST STE 340
MOUNT PLEASANT
WI
534051644
Practice Location Phone/Fax
| Phone: | 2626872222 |
| Fax: |
Provider Mailing Location
3805 SPRING ST
MOUNT PLEASANT
WI
534051667
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |