JONATHON MICHAEL PRYOR LPC NPI 1063996619

NPI Information

NPI: 1063996619
Provider Name: JONATHON MICHAEL PRYOR, LPC
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
6959 HACKLEBARNEY RD
BLACKSHEAR, GA
ZIP 31516
Phone: (912) 590-2981
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Jonathon Michael Pryor, LPC is a counselor in Blackshear, GA. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Jonathon Michael Pryor, LPC NPI is 1063996619. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6959 HACKLEBARNEY RD
BLACKSHEAR, GA
ZIP 31516-692
Phone: (912) 590-2981

The enumeration date for this NPI number is 9/19/2018 and was last updated on 2/28/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor		LPC010482	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1063996619	MEDICAID	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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