Individual
DIANE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
20903 70TH AVE W., EDMONDS, WA 98026
(425) 672-3333
Mailing address
1401 MERRILL CREEK PKWY APT 3023, EVERETT, WA 98203-7136
(360) 631-4779
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CG60189057
WA
Other
Enumeration date
02/17/2011
Last updated
02/17/2011
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