Individual
SAMUEL TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
77 E WELDON AVE STE 210, PHOENIX, AZ 85012-2380
(602) 230-7373
(602) 761-2537
Mailing address
3620 N 3RD ST, PHOENIX, AZ 85012-2020
(602) 230-7373
(602) 682-7455
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
17054
AZ
Other
Enumeration date
12/07/2017
Last updated
01/07/2019
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