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Individual
TAYLOR WATKINS
Active
Individual
TAYLOR WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PEER SUPPORT SPECIAL
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.187704
OH
175T00000X
Peer Specialist
0003140
OH
Other
Enumeration date
08/15/2022
Last updated
04/23/2024
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