Individual
CLARE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-MHSP
Contact information
Practice address
119 N 3RD ST OFC 24, CLARKSVILLE, TN 37040-3401
(931) 553-3029
Mailing address
247 CHEROKEE TRL, CLARKSVILLE, TN 37043-4505
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4230
TN
101YM0800X
Mental Health Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q044025
—
TN
Enumeration date
10/03/2015
Last updated
06/12/2019
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