Provider Demographics
NPI:1396961199
Name:PRATT, ALLEGRA MAGIL (PHD, LPC)
Entity type:Individual
Prefix:MS
First Name:ALLEGRA
Middle Name:MAGIL
Last Name:PRATT
Suffix:
Gender:F
Credentials:PHD, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9207 SHARON ST
Mailing Address - Street 2:
Mailing Address - City:JUNEAU
Mailing Address - State:AK
Mailing Address - Zip Code:99801-8829
Mailing Address - Country:US
Mailing Address - Phone:907-364-4447
Mailing Address - Fax:907-364-4487
Practice Address - Street 1:3245 HOSPITAL DR
Practice Address - Street 2:BEHAVIORAL HEALTH SUITE 109
Practice Address - City:JUNEAU
Practice Address - State:AK
Practice Address - Zip Code:99801-7809
Practice Address - Country:US
Practice Address - Phone:907-364-4487
Practice Address - Fax:907-364-4487
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK416101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health