Individual
ZACHARY TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5638 PROFESSIONAL CIR, INDIANAPOLIS, IN 46241-5042
(888) 714-1927
Mailing address
5638 PROFESSIONAL CIR, INDIANAPOLIS, IN 46241-5042
(888) 714-1927
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PENDING
IN
Other
Enumeration date
07/20/2022
Last updated
07/20/2022
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