Individual
MISS ATHENA T. TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACSW
Contact information
Practice address
265 S ANITA DR STE 102-104, ORANGE, CA 92868-3355
(714) 410-3500
Mailing address
265 S ANITA DR STE 102-104, ORANGE, CA 92868-3355
(714) 410-3500
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
118580
CA
Other
Enumeration date
06/06/2007
Last updated
01/03/2024
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