Individual
MR. D'ANGELO TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
100 S REYNOLDS ST APT 405, ALEXANDRIA, VA 22304-3173
(910) 584-9500
Mailing address
100 S REYNOLDS ST APT 405, ALEXANDRIA, VA 22304-3173
(910) 584-9500
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
PRC15306
DC
101YM0800X
Mental Health Counselor
PRC15306
DC
101YP2500X
Professional Counselor
Primary
PRC15306
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PRC15306
—
DC
Enumeration date
03/22/2020
Last updated
03/22/2020
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