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Individual

DYLAN CRISPINO-TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1675 ASHLAND ST, ASHLAND, OR 97520-2472
(541) 708-6488
(541) 708-6489
Mailing address
3587 HEATHROW WAY, MEDFORD, OR 97504-4004
(541) 858-8170

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PROFESSIONALLICENSE
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
01/06/2026
Last updated
04/23/2026
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