Individual
MRS. TAYLOR MACKENZIE STOUDENMIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGC
Contact information
Practice address
125 QUEENS RD STE 520, CHARLOTTE, NC 28204-3512
(980) 302-6270
(980) 302-6275
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(980) 302-6270
(980) 302-6275
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
20203
NC
170300000X
Genetic Counselor (M.S.)
20203
SC
170300000X
Genetic Counselor (M.S.)
Primary
30
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20
GENETIC COUNSELOR STATE LICENSURE
SC
01
—
20203
AMERICAN BOARD OF GENETIC COUNSELING CERTIFICATE
—
01
—
GC46
GENETIC COUNSELOR STATE LICENSURE
FL
Enumeration date
06/08/2021
Last updated
10/15/2025
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