Individual
DIANN LAURINE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
4000 OLD PECOS TRL, SANTA FE, NM 87508-9060
(214) 288-3896
Mailing address
4000 OLD PECOS TRL, SANTA FE, NM 87508-9060
(214) 288-3896
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CCMH0218501
NM
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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