Individual
MR. JOHNNIE LYNN TAYLOR III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
42 DELSEA DR S, GLASSBORO, NJ 08028-2621
(844) 422-3632
Mailing address
111 HAMPSHIRE DR, DEPTFORD, NJ 08096-4208
(609) 556-7607
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
12/19/2019
Last updated
12/19/2019
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