Individual
JONATHAN TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15681 N US HIGHWAY 301, CITRA, FL 32113-3154
(352) 595-5000
Mailing address
15681 N US HIGHWAY 301, CITRA, FL 32113-3154
(352) 595-5000
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/13/2017
Last updated
03/17/2017
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