Individual
MR. ELTON MICHAEL PRIDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
12400 W 62ND TER, SUITE G, SHAWNEE, KS 66216-1833
(913) 449-3696
(913) 548-4816
Mailing address
PO BOX 24131, OVERLAND PARK, KS 66283-4131
(913) 449-3696
(913) 548-4816
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
2002008095
MO
101YP2500X
Professional Counselor
Primary
229
KS
Other
Enumeration date
02/20/2007
Last updated
04/28/2010
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