Individual
LASHARON LEAH TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LMHC, IADC
Contact information
Practice address
3330 SOUTHGATE CT SW, CEDAR RAPIDS, IA 52404
(319) 406-2686
Mailing address
5470 PLAINVIEW DR NW, CEDAR RAPIDS, IA 52405-3247
(319) 217-1375
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
806491
IA
101YM0800X
Mental Health Counselor
Primary
079016
IA
101YP2500X
Professional Counselor
2016013351
MO
Other
Enumeration date
06/01/2016
Last updated
08/14/2018
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