Individual
TAYLOR KERSEY FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
775 TANNER CT, MERCED, CA 95341-8905
(209) 913-7282
Mailing address
1405 11TH ST, MODESTO, CA 95354-0748
(120) 928-4097
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/02/2018
Last updated
11/06/2024
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