Individual
MRS. NANCY J TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MC LPC RPT
Contact information
Practice address
2435 E SOUTHERN AVE STE 3, TEMPE, AZ 85282-7628
(480) 894-2281
(480) 894-2282
Mailing address
1305 E CARSON DR, TEMPE, AZ 85282-7215
(480) 752-3010
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC10994
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
738731000
MAGELLAN
AZ
01
—
7521626
AETNA
—
01
—
885171
AHCCCS
AZ
Enumeration date
01/31/2006
Last updated
05/27/2010
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