Individual
MR. JONATHAN TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7001 EAST PKWY, SACRAMENTO, CA 95823-2501
(916) 709-7934
Mailing address
816 KERN ST, CHICO, CA 95928-4132
(530) 828-5056
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
175T00000X
Peer Specialist
Primary
MPSS-IWVKFT
CA
Other
Enumeration date
03/17/2010
Last updated
04/15/2024
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