Individual
STEPHANIE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
507 W MAIN ST, LOUISVILLE, MS 39339-2559
(662) 773-9377
(662) 773-9025
Mailing address
302 N JACKSON ST, STARKVILLE, MS 39759-2504
(662) 323-9261
(662) 324-9647
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1087
MS
Other
Enumeration date
11/03/2009
Last updated
11/05/2009
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