Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JONATHON MICHAEL PRYOR, LPC, LPCC
ActiveCounselor · BLACKSHEAR, GA
Registration Details
- NPI Number
- 1063996619
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 19, 2018 (7.618230480357 yrs)
- Last Updated
- Aug 19, 2024
- Licenses
-
16923 (CA)LPC010482 (GA)
Practice Information
- Address
-
6692 TANGLEWOOD DRBLACKSHEAR, GA, 315167530Browse GA providers · Browse ZIP 31516
- Phone
- 9125902981
- Primary Specialty
-
Counselor
101Y00000X
- Additional Specialty
- Counselor
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.