Individual
AMBER TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
21640 N 19TH AVE, PHOENIX, AZ 85027-2720
(602) 402-4340
Mailing address
21640 N 19TH AVE STE C9, PHOENIX, AZ 85027-2720
(602) 499-9952
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-19292
AZ
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
LAC-17146
AZ
Other
Enumeration date
06/28/2020
Last updated
09/25/2020
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