Individual
KAWANNON RICHARDSON TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
153 SCOUTING CIR, TROY, AL 36081-2540
(334) 808-8991
(334) 808-8995
Mailing address
153 SCOUTING CIR, TROY, AL 36081-2540
(334) 808-8991
(334) 808-8995
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3450
AL
Other
Enumeration date
11/03/2015
Last updated
11/03/2015
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