Individual
CHARLES TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1200 6TH AVE S, JASPER, AL 35501-4606
(205) 515-3591
Mailing address
1200 6TH AVE S, JASPER, AL 35501-4606
(205) 515-3591
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3161
AL
Other
Enumeration date
03/08/2017
Last updated
03/08/2017
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