Individual
MR. JUSTIN MICHAEL TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
115 ROCKWOOD LN, HAZARD, KY 41701-9415
(606) 436-5761
(606) 436-5797
Mailing address
115 ROCKWOOD LN, HAZARD, KY 41701-9415
(606) 436-5761
(606) 436-5797
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
165706
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100358550
—
KY
Enumeration date
02/02/2010
Last updated
03/29/2018
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