Individual
JARED PRYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
210 S WASHINGTON ST, MC LEANSBORO, IL 62859-1139
(618) 927-0478
Mailing address
210 S WASHINGTON ST, MC LEANSBORO, IL 62859-1139
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
178.014510
IL
101YP2500X
Professional Counselor
Primary
180.014463
IL
Other
Enumeration date
01/17/2019
Last updated
03/21/2023
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