Individual
MR. JEREMIAH TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC NCC SAP CEAP
Contact information
Practice address
3086 WOODLEY ROAD, SUITE 3, MONTGOMERY, AL 36116-5404
(334) 235-0995
Mailing address
3609 CARRIAGE PL, MONTGOMERY, AL 36116
(334) 235-0995
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
768
AL
Other
Enumeration date
07/28/2006
Last updated
07/08/2007
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