Individual
MR. JOHN JUSTIN TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 VALLEY DR, PAULS VALLEY, OK 73075-6613
(612) 594-0066
Mailing address
100 VALLEY DR, PAULS VALLEY, OK 73075-6613
(612) 594-0066
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
324500000X
OK
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
08/11/2025
Last updated
08/11/2025
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