Individual
MR. RICHARD LEE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.ED
Contact information
Practice address
700 CITY HALL DR, FORT OGLETHORPE, GA 30742-7802
(706) 861-3387
(706) 638-5541
Mailing address
700 CITY HALL DR, FORT OGLETHORPE, GA 30742-7802
(706) 861-3387
(706) 638-5541
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LDC0000000490
TN
101YA0400X
Addiction (Substance Use Disorder) Counselor
0987T
GA
101YP2500X
Professional Counselor
2241
GA
Other
Enumeration date
02/28/2007
Last updated
09/26/2008
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