Individual
KENNETH JAMES TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
10046
ID
104100000X
Social Worker
37236
ID
1041C0700X
Clinical Social Worker
Primary
LCSW-42204
ID
Other
Enumeration date
04/08/2018
Last updated
04/20/2026
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