Individual
COREY C TAYLOR SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9558 MESA VERDE AVE, BATON ROUGE, LA 70814-4017
(225) 200-4345
Mailing address
9558 MESA VERDE AVE, BATON ROUGE, LA 70814-4017
(225) 200-4345
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/12/2019
Last updated
07/01/2019
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