Individual
TINA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
2250 THUNDERSTICK DR STE 1104, LEXINGTON, KY 40505-9009
(859) 254-1035
(859) 254-2075
Mailing address
2250 THUNDERSTICK DR STE 1104, LEXINGTON, KY 40505-9009
(859) 254-1035
(859) 254-2075
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
168186
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100410760
—
KY
Enumeration date
10/16/2013
Last updated
05/28/2020
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