Individual
KELLY TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
104 GEORGE BISHOP PKWY, MYRTLE BEACH, SC 29579-7335
(843) 492-2269
Mailing address
1042 PINNER PL, MYRTLE BEACH, SC 29577-4221
(843) 903-6212
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/13/2022
Last updated
01/13/2022
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