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Individual

MRS. IVAN JANEEN TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
2409 HOMER CLAYTON DRIVE, GUNTERSVILLE, AL 35976
(256) 582-3203
(256) 582-3216
Mailing address
2409 HOMER CLAYTON DRIVE, GUNTERSVILLE, AL 35976
(256) 582-3203
(256) 582-3216

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C3599A
AL
101YP2500X
Professional Counselor
Primary
LPC04780
AL

Other

Enumeration date
02/28/2022
Last updated
01/29/2024
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