Individual
TAYLOR WHITTREDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2 GRANITE ST, WORCESTER, MA 01604-5428
(508) 849-5640
Mailing address
17 S POINT RD, WEBSTER, MA 01570-3637
(774) 200-8238
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/12/2021
Last updated
06/03/2024
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