| Doctor Name: | MR. JARED M. TAYLOR |
| NPI Number: | 1023103926 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCSW |
| License Number: | LCSW 6201971-3501 |
| Business Practice Address: | 175 W 1400 N Suite A Logan, UT - 843416811 |
| Business Phone Number: | 4357525302 |
| Business Fax Number: | 4357539007 |
| Mailing Address: | Po Box 557, MILLVILLE |
| State: | UT |
| Postal Code: | 843260557 |
| Phone Number: | 4357525302 |
| Fax Number: | 4357539007 |
| NPI Enumeration Date: | 10/04/2006 |
| NPI Last Update Date: | 04/16/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | LCSW 6201971-3501 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |