Individual
JEFF A TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2730 WAVERLY BLVD SE, ALBANY, OR 97321-3816
(541) 924-9616
(541) 812-8807
Mailing address
PO BOX 100, ALBANY, OR 97321-0031
(541) 924-9616
(541) 812-8807
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
1490
OR
1041C0700X
Clinical Social Worker
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
197749
—
OR
Enumeration date
03/02/2007
Last updated
09/18/2014
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