Individual
ROSE M TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
245 N BINKLEY ST STE 200, SOLDOTNA, AK 99669-7500
(909) 714-4501
(907) 260-4063
Mailing address
245 N BINKLEY ST STE 200, SOLDOTNA, AK 99669-7500
(907) 714-4501
(907) 260-4063
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
ACSW84460
CA
104100000X
Social Worker
ACSW84460
CA
Other
Enumeration date
07/07/2015
Last updated
03/18/2024
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