Individual
SHANEN TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
304 S LOCUST ST, GLENWOOD, IA 51534-1825
(712) 527-2823
(712) 527-4193
Mailing address
304 S LOCUST ST, GLENWOOD, IA 51534-1825
(712) 527-2823
(712) 527-4193
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
109464
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
109464
LICENSURE
IA
Enumeration date
07/13/2021
Last updated
07/13/2021
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