Individual
MARTIA TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC, LCAS
Contact information
Practice address
1008 KINGOLD BLVD, SNOW HILL, NC 28580-1617
(252) 525-0793
Mailing address
3168 FOX RUN CIR, KINSTON, NC 28504-7548
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
07/02/2014
Last updated
05/20/2024
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