Individual
JEFF TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA LPC
Contact information
Practice address
16052 SWINGLEY RIDGE RD, SUITE 110, CHESTERFIELD, MO 63017-2079
(636) 449-6000
Mailing address
16052 SWINGLEY RIDGE ROAD, SUITE 110, CHESTERFIELD, MO 63141
(636) 449-6000
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2002018279
MO
Other
Enumeration date
10/11/2007
Last updated
10/11/2007
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