Individual
CLINTON THAYNE TAYLOR
Active
Individual
CLINTON THAYNE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0176141
NM
104100000X
Social Worker
M-09715
NM
104100000X
Social Worker
X-11195
NM
1041C0700X
Clinical Social Worker
Primary
C-11047
NM
Other
Enumeration date
01/25/2017
Last updated
04/02/2026
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