Individual
MRS. STACEY MARIE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18422 103RD AVE NE, BOTHELL, WA 98011-3410
(425) 494-0801
(866) 764-2841
Mailing address
18422 103RD AVE NE, BOTHELL, WA 98011-3410
(254) 940-8014
(866) 764-2841
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
61376037
WA
Other
Enumeration date
05/15/2007
Last updated
05/18/2023
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