Individual
COLIN MICHAEL PRYOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LCADC, LCSW
Contact information
Practice address
239 DOUGRAM AVE, LAS VEGAS, NV 89101-5647
(702) 552-8099
Mailing address
239 DOUGRAM AVE, LAS VEGAS, NV 89101-5647
(631) 944-0969
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
06968-LC
NV
1041C0700X
Clinical Social Worker
Primary
9519-C
NV
Other
Enumeration date
08/14/2017
Last updated
07/21/2023
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