Individual
MR. BEN C PRYOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADCA
Contact information
Practice address
BEN PRYOR 998 VIRGINIA ST, BERKELEY, CA 94710-1851
(510) 684-1922
Mailing address
1931 CENTER ST, BERKELEY, CA 94704-1105
(510) 666-9552
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61552
AC BHCS CLINICIAN#
CA
Enumeration date
06/18/2007
Last updated
10/02/2015
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