Individual provider · Type 1 NPI

Elton Michael Priddy, LCPC

Professional Counselor · Shawnee, KS

NPI number 1366587016 Active

Practice location

12400 W 62nd Ter, Suite G
Shawnee, KS 66216-1833

Call (913) 449-3696 Map

Fax (913) 548-4816

Mailing address

PO Box 24131
Overland Park, KS 66283-4131

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X229 (KS)
Professional Counselor 101YP2500X2002008095 (MO)

Professional Counselor: Definition to come...

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About NPI 1366587016

Elton Michael Priddy, LCPC's National Provider Identifier is 1366587016, issued on Feb 20, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Shawnee, KS. The record was last updated on Apr 28, 2010.