Individual
KHALIYAH TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1640 POWERS FERRY RD SE STE 200, MARIETTA, GA 30067-5491
(404) 426-5382
Mailing address
3887 ROSITA AVE, DOUGLASVILLE, GA 30135-2745
(912) 663-7691
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC009537
GA
Other
Enumeration date
05/30/2024
Last updated
05/30/2024
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