Individual
RODNEY J TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1605 5TH PL, LAS VEGAS, NV 89104-1422
(702) 672-8654
Mailing address
2654 W HORIZON RIDGE PKWY # B5136, HENDERSON, NV 89052-2803
(702) 241-6006
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
207QA0505X
Adult Medicine Physician
86-3770518
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
82-5400598
—
NV
Enumeration date
03/15/2024
Last updated
10/04/2024
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