Individual
TAYLER MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSATP, LADACII, CSAC
Contact information
Practice address
5477 MOORETOWN RD, WILLIAMSBURG, VA 23188-2108
(757) 349-6285
Mailing address
5477 MOORETOWN RD, WILLIAMSBURG, VA 23188-2108
(757) 349-6285
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0718000655
VA
101YA0400X
Addiction (Substance Use Disorder) Counselor
1439
TN
Other
Enumeration date
05/25/2019
Last updated
05/19/2024
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