Individual
MARK C. TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LMHP-S, CSAC,
Contact information
Practice address
1731 N 28TH ST, RICHMOND, VA 23223-5317
(804) 301-8400
Mailing address
1731 N 28TH ST, RICHMOND, VA 23223-5317
(804) 301-8400
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0906015135
VA
Other
Enumeration date
05/15/2024
Last updated
05/15/2024
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