Individual
STEPHANIE K TAYLOR-EDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
920 FREDERICA ST STE 407, OWENSBORO, KY 42301-3079
(270) 689-0073
(270) 689-0083
Mailing address
338 CAMDEN CIR, OWENSBORO, KY 42301-7949
(270) 313-9898
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
170605
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05
—
KY
Enumeration date
05/17/2017
Last updated
05/17/2017
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