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Individual

TERRY PRYOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
209 W WOODLAND AVE, YOUNGSTOWN, OH 44502-1866
(330) 787-9180
Mailing address
2115 CRANBROOK CT, YOUNGSTOWN, OH 44511-1285
(330) 610-1501

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C180.1022
OH
101YM0800X
Mental Health Counselor
E.2303927
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
812009857
OH
Enumeration date
05/16/2018
Last updated
07/10/2024
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