Individual
KEITH PRYOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
23B PASCO DR, EAST WINDSOR, CT 06088-1713
(860) 940-0333
Mailing address
16 LANDERS RD, EAST HARTFORD, CT 06118-3318
(860) 940-0333
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5185
CT
101YP2500X
Professional Counselor
5185
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17756514
—
CT
Enumeration date
09/24/2021
Last updated
07/11/2025
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