Individual
PATRICIA TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC, NCC
Contact information
Practice address
1046 N SNEAD PL, EAGLE, ID 83616-6508
(208) 340-2176
Mailing address
1046 N SNEAD PL, EAGLE, ID 83616-6508
(208) 340-2176
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC6533
ID
Other
Enumeration date
06/09/2018
Last updated
06/09/2018
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