Individual
JAIME WARD TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
QP, BS
Contact information
Practice address
62 IDA BROWN LANE, LILLINGTON, NC 27546
(910) 814-0044
(910) 893-3474
Mailing address
1128 PADDINGTON PL, FAYETTEVILLE, NC 28314-6304
(910) 670-5625
(910) 893-3474
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3409081
NC
Other
Enumeration date
01/25/2007
Last updated
07/08/2007
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