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HOLLIE DESSELLE PRYOR LPC
Professional >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1699820290
Individual Registrant: HOLLIE DESSELLE PRYOR LPC
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
302 E OGEECHEE ST SYLVANIA, GA 30467-2403 US
Tel: 912-564-7825 Fax: 912-564-5778
Tel: 912-564-7825 Fax: 912-564-5778
Contact information for business:
P O BOX 1259 223 N. ANDERSON DRIVE SWAINSBORO, GA 30401 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1699820290
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 101YP2500X | Behavioral Health & Social Service Providers Counselor Professional | GA | LPC004257 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
