Individual
JALISA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
256 WASHINGTON ST, MOUNT VERNON, NY 10553-1052
(914) 613-0700
Mailing address
256 WASHINGTON ST, MOUNT VERNON, NY 10553-1052
(914) 613-0700
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/09/2021
Last updated
02/09/2021
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