Individual
TAYLOR ELIZABETH BAGLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
575 CAMERON WAY STE A, NORTH LIBERTY, IA 52317-4734
(319) 626-2558
Mailing address
607 H AVE, KALONA, IA 52247-9771
(319) 325-9035
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
107561
IA
Other
Enumeration date
08/11/2023
Last updated
08/11/2023
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