Individual
MR. ROBERT DOUGLAS TAYLOR JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSAC
Contact information
Practice address
104 HOLCOMB ROAD, PORTSMOUTH, VA 23708-0000
(757) 953-4903
Mailing address
2219 SHIPS XING, CHESAPEAKE, VA 23323-4028
(757) 582-6535
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0710103826
VA
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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