Individual
SHELLEY TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISAC
Contact information
Practice address
1660 WILLOW CREEK RD, SUITE A, PRESCOTT, AZ 86301-1124
(928) 445-0744
(928) 445-0537
Mailing address
1660 WILLOW CREEK RD, SUITE A, PRESCOTT, AZ 86301-1124
(928) 445-0744
(928) 445-0537
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10987
AZ
Other
Enumeration date
05/26/2016
Last updated
05/26/2016
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