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General NPI Number Information
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NPI Number | 1942652607
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Entity Type | Individual
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Provider Name | JOHN C PRYOR LCPC, LPC
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Gender | Male
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Dates
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Enumeration Date | 07/06/2016
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Last Update Date | 04/23/2025
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Provider Practice Location Address
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Address Line | 4601 E DOUGLAS AVE STE 150
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City | WICHITA
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State | KS
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Zip | 67218-1032
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Country | US
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Telephone | 816-533-5041
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Fax |
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Provider Business Mailing Address
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Address Line | 117 S LEXINGTON ST STE 100
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City | HARRISONVILLE
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State | MO
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Zip | 64701-2444
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Country | US
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Telephone | 816-533-5041
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 2016029692
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LCPC03946
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 2016029692
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License Number State | MO
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