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Individual

CURTIS DWAYNE TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2004 OAKLAWN AVE, CHARLOTTE, NC 28216-5022
(704) 904-8684
Mailing address
2004 OAKLAWN AVE, CHARLOTTE, NC 28216-5022

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
101YM0800X
Mental Health Counselor
NC
103TB0200X
Cognitive & Behavioral Psychologist
NC
103TM1800X
Intellectual & Developmental Disabilities Psychologist
NC

Other

Enumeration date
04/26/2016
Last updated
04/26/2016
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