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Individual
JOHN WADE PURYEAR
Active
Individual
JOHN WADE PURYEAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
0701008483
—
101YM0800X
Mental Health Counselor
Primary
0701008483
VA
101YP2500X
Professional Counselor
0701008483
VA
102L00000X
Psychoanalyst
0701008483
VA
Other
Enumeration date
07/20/2019
Last updated
02/11/2026
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