Individual
KENNETH R. TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2277 SUNSET BLVD, WEST COLUMBIA, SC 29169-4713
(888) 796-1117
(803) 996-5228
Mailing address
2277 SUNSET BLVD, WEST COLUMBIA, SC 29169-4713
(888) 796-1117
(803) 996-5228
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PC 1596
—
SC
Enumeration date
11/06/2013
Last updated
12/17/2020
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