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Individual

MATTHEW JAMES TAYLOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MHA

Contact information

Practice address
2789 ORTIZ AVE, FORT MYERS, FL 33905-7806
(239) 275-3222
(239) 791-0111
Mailing address
13971 N CLEVELAND AVE STE 9, N FORT MYERS, FL 33903-4392
(239) 997-7770
(239) 997-7776

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
171M00000X
Case Manager/Care Coordinator

Other

Enumeration date
09/10/2013
Last updated
01/28/2020
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