Individual
MRS. LATRICIA D TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-S, NCC
Contact information
Practice address
14020 N WESTERN AVE # 101, EDMOND, OK 73013-1977
(405) 509-5466
Mailing address
PO BOX 224, JENKS, OK 74037-0224
(405) 509-5466
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
3886
OK
101YP2500X
Professional Counselor
Primary
3886
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
237395
NCC
—
Enumeration date
10/03/2006
Last updated
11/12/2021
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