Individual
BRANDON TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCA
Contact information
Practice address
933 RUSSELL RD STE 93, COLUMBIA, KY 42728-1054
(270) 384-1736
(270) 384-1734
Mailing address
303 S MONROE ST, COLUMBIA, KY 42728-1462
(270) 250-4991
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
173538
KY
Other
Enumeration date
09/21/2021
Last updated
09/21/2021
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