Individual
CHRISSTELLER TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAS-A
Contact information
Practice address
4808 FORTUNES RIDGE DR, DURHAM, NC 27713-9348
(919) 641-7457
Mailing address
4808 FORTUNES RIDGE DR, DURHAM, NC 27713-9348
(919) 641-7457
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-24672
NC
Other
Enumeration date
07/06/2020
Last updated
07/06/2020
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