Individual
MR. MELVIN TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISAC
Contact information
Practice address
288 N IRONWOOD DR STE 110, SAN TAN COUNSELING, APACHE JUNCTION, AZ 85220-3830
(480) 982-2356
(480) 982-0859
Mailing address
288 N IRONWOOD DR STE 110, SAN TAN COUNSELING, APACHE JUNCTION, AZ 85220-3830
(480) 982-2356
(480) 982-0859
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
1229
AZ
101YM0800X
Mental Health Counselor
10612
AZ
104100000X
Social Worker
Primary
10612
AZ
Other
Enumeration date
10/26/2006
Last updated
11/19/2007
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