Individual
GARY A TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDCA
Contact information
Practice address
9955 UNION RIDGE RD, ROGERS, OH 44455-9763
(330) 953-0243
Mailing address
2957 GREENFIELD ST, MC DONALD, OH 44437-1204
(330) 937-1999
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.171687
OH
Other
Enumeration date
02/26/2020
Last updated
02/26/2020
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