Individual
TAYLOR CUSACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3170 MARTIN LUTHER KING JR PKWY S, PHENIX CITY, AL 36869-8405
(334) 298-2405
(334) 742-2840
Mailing address
2506 LAMBERT DR, OPELIKA, AL 36801-7237
(334) 742-2718
(334) 742-2840
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC05137
AL
Other
Enumeration date
02/28/2024
Last updated
02/28/2024
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