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Individual

ALEXANDRA GRACE TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6000 NEW WAY, KLAMATH FALLS, OR 97601-9382
(541) 884-1841
Mailing address
3949 SOUTH 6TH STREET, KLAMATH FALLS, OR 97603
(541) 882-1487
(541) 880-5590

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C9573
OR
101YM0800X
Mental Health Counselor
R7127
OR
101YM0800X
Mental Health Counselor

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500830431
OR
Enumeration date
11/14/2019
Last updated
06/27/2025
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