Individual
JENNIFER TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC II
Contact information
Practice address
547 SW 7TH ST, NEWPORT, OR 97365-4909
(541) 270-1238
Mailing address
333 NE 2ND ST APT 10, NEWPORT, OR 97365-2943
(971) 388-4328
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
19-12-29
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103K00000X
—
NV
Enumeration date
04/18/2017
Last updated
11/05/2022
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