Individual
CHAUNICE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2151 RUSH BLVD, YOUNGSTOWN, OH 44507-1535
(330) 744-1181
Mailing address
4384 MAHONING AVE, YOUNGSTOWN, OH 44515-2720
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.170855
OH
Other
Enumeration date
10/24/2019
Last updated
10/24/2019
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