Individual
SHANNA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
240 ST MARKS ST, PETERSBURG, VA 23803-5835
(804) 324-0573
Mailing address
240 ST MARKS ST, PETERSBURG, VA 23803-5835
(804) 324-0573
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
VA
Other
Enumeration date
09/20/2025
Last updated
09/20/2025
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