| Doctor Name: | CHRISTINA TAYLOR |
| NPI Number: | 1124305230 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | B.A. |
| License Number: | |
| Business Practice Address: | 1208 Route 66, Suite D Moriarty, NM - 87035 |
| Business Phone Number: | 5058329322 |
| Business Fax Number: | 5059329326 |
| Mailing Address: | 1218 Griegos Rd Nw, ALBUQUERQUE |
| State: | NM |
| Postal Code: | 871073752 |
| Phone Number: | 5058329322 |
| Fax Number: | 5058329326 |
| NPI Enumeration Date: | 11/03/2011 |
| NPI Last Update Date: | 11/03/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |