Individual
ADAM JOHN TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
224 D. L. INGRAM AVE BLDG. 1408, CANNON AFB, NM 88101
(575) 748-1108
Mailing address
2210 W UNIVERSITY DR, PORTALES, NM 88130-9345
(410) 336-6458
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C016275
NC
1041C0700X
Clinical Social Worker
Primary
P015219
NC
Other
Enumeration date
08/29/2022
Last updated
03/15/2026
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