Individual
MELISSA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
43 KNIGHT BOXX RD STE 100, ORANGE PARK, FL 32065-7395
(904) 379-8675
Mailing address
43 KNIGHT BOXX RD STE 100, ORANGE PARK, FL 32065-7395
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
IMT3043
FL
Other
Enumeration date
02/14/2022
Last updated
02/14/2022
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