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Individual

KELVIN TAYLOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CADAC II

Contact information

Practice address
1418 JACKSON ST, ANDERSON, IN 46016-1619
(317) 764-8608
Mailing address
14742 SIR BARTON DR APT H, NOBLESVILLE, IN 46060-5526
(317) 764-8608

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
C2-2018
IN

Other

Enumeration date
11/04/2021
Last updated
11/04/2021
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