Provider Demographics
NPI:1114073178
Name:PRATT, L. DARLENE (MFT)
Entity Type:Individual
Prefix:MS
First Name:L.
Middle Name:DARLENE
Last Name:PRATT
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2910 CAMINO DIABLO
Mailing Address - Street 2:SUITE 130
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94597-3997
Mailing Address - Country:US
Mailing Address - Phone:510-644-8190
Mailing Address - Fax:510-845-5259
Practice Address - Street 1:2910 CAMINO DIABLO
Practice Address - Street 2:SUITE 130
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94597-3997
Practice Address - Country:US
Practice Address - Phone:510-644-8190
Practice Address - Fax:510-845-5259
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC36349106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist