Individual
MR. KENNETH MICHAEL TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW LMFT
Contact information
Practice address
3169 SECOND AVENUE EAST, BIG STONE GAP, VA 24219
(276) 523-8300
Mailing address
PO BOX 9054, GRAY, TN 37615-9054
(423) 467-3600
(423) 467-3696
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
0904000204LCSW
VA
106H00000X
Marriage & Family Therapist
Primary
07170000075LMFT
VA
Other
Enumeration date
02/02/2007
Last updated
09/11/2025
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