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Individual

JULIETTE TONIA TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC, TLLP

Contact information

Practice address
1101 BALL AVE NE, GRAND RAPIDS, MI 49505-5904
(616) 456-6571
(616) 456-5800
Mailing address
2065 BROOK TRAILS CT SE, GRAND RAPIDS, MI 49508-2654
(616) 247-3975
(616) 456-5800

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC6401010104
MI
103TC1900X
Counseling Psychologist
TLLP6301013292
MI
106H00000X
Marriage & Family Therapist
MFC37620
CA

Other

Enumeration date
04/17/2007
Last updated
09/11/2025
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