Individual
JONATHAN TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
560 W BROWN RD # 364, MESA, AZ 85201-3221
(480) 256-9842
Mailing address
560 W BROWN RD # 364, MESA, AZ 85201-3221
(480) 256-9842
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/16/2025
Last updated
04/16/2025
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