Individual
MS. KIM VICTORIA TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAS
Contact information
Practice address
109 CAMBRIDGE PL, SMITHFIELD, NC 27577-4717
(919) 989-8114
(919) 938-0503
Mailing address
109 CAMBRIDGE PL, SMITHFIELD, NC 27577-4717
(919) 989-8114
(919) 938-0503
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1774
NC
1041C0700X
Clinical Social Worker
P-005960
NC
Other
Enumeration date
03/01/2011
Last updated
09/26/2024
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