Individual
TAYLOR MADISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
355 2ND ST, EXCELSIOR, MN 55331-2059
(952) 474-0227
Mailing address
621 4TH ST STE 6, DAVIS, CA 95616-4151
(530) 554-2677
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/25/2021
Last updated
01/17/2025
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