Individual provider · Type 1 NPI
Jonathon Michael Pryor, LPC, LPCC
Counselor · Blackshear, GA
NPI number
1063996619
Active
Practice location
6692 Tanglewood Dr
Blackshear, GA 31516-7530
Mailing address
PO Box 1884
Waycross, GA 31502-1884
Other practice locations
- 1000 G St Ste 125, Sacramento, CA 95814-0894 · (888) 878-8595
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | 16923 (CA) |
| Counselor Primary | 101Y00000X | LPC010482 (GA) |
Counselor: 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.
About NPI 1063996619
Jonathon Michael Pryor, LPC, LPCC's National Provider Identifier is 1063996619, issued on Sep 19, 2018. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Blackshear, GA. The record was last updated on Aug 19, 2024.