Individual
MR. JOHN LAWAYNE TAYLOR JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2219 CLAIBORNE AVE, SHREVEPORT, LA 71103
(318) 572-9431
Mailing address
2219 CLAIBORNE AVE, SHREVEPORT, LA 71103-4301
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/07/2016
Last updated
07/22/2018
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