Individual
ANTOINETTE WILKINS-TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16314 CORNUTA AVE, BELLFLOWER, CA 90706-4814
(562) 461-9272
Mailing address
16809 BELLFLOWER BLVD # 108, BELLFLOWER, CA 90706-5901
(562) 208-5882
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
04/05/2022
Last updated
04/08/2022
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