Provider Demographics
NPI:1922763945
Name:PRATSCHER, JASON HENRY (LMFT)
Entity Type:Individual
Prefix:
First Name:JASON
Middle Name:HENRY
Last Name:PRATSCHER
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4231 CAMERON RD
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28306-7106
Mailing Address - Country:US
Mailing Address - Phone:910-494-2660
Mailing Address - Fax:
Practice Address - Street 1:4231 CAMERON RD
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28306-7106
Practice Address - Country:US
Practice Address - Phone:910-494-2660
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-04
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC12355A106H00000X
NC2558106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist