Individual
MR. JACK BARNEY TAYLOR III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1617 FLAT SHOALS RD NE, MILLEDGEVILLE, GA 31061-2203
(478) 457-5883
Mailing address
1617 FLAT SHOALS RD NE, MILLEDGEVILLE, GA 31061-2203
(478) 457-5883
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
005472
GA
Other
Enumeration date
12/16/2008
Last updated
12/16/2008
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