Individual
RENEE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
201 S GLENRIDGE CT, APPLETON, WI 54914-3905
(920) 731-3981
Mailing address
607 W 7TH ST, APPLETON, WI 54911-5923
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
17139130
WI
101YP2500X
Professional Counselor
Primary
5042-125
WI
Other
Enumeration date
02/26/2014
Last updated
06/18/2014
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