Individual
TAYLOR SANSBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
19-21 BELMONT AVE, DOVER, NJ 07801-4107
(971) 361-5555
Mailing address
19-21 BELMONT AVE, DOVER, NJ 07801-4107
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0356935
—
NJ
Enumeration date
02/04/2015
Last updated
02/04/2015
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