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Individual
TAYLOR MARTELLO
Active
Individual
TAYLOR MARTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
BBH-LCPC-LIC-86985
MT
101YM0800X
Mental Health Counselor
Primary
BBH-PCLC-LIC-67729
MT
Other
Enumeration date
12/18/2024
Last updated
07/20/2026
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