Individual
ERNESTINE SMITH TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAS
Contact information
Practice address
103 SAINT ANDREWS DR, GREENVILLE, NC 27834-6326
(252) 341-2397
Mailing address
103 SAINT ANDREWS DR, GREENVILLE, NC 27834-6326
(252) 341-2397
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1983
NC
Other
Enumeration date
02/10/2012
Last updated
02/10/2012
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