Doctor Name: | JIL MARIE TAYLOR |
NPI Number: | 1437349107 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMSW |
License Number: | RC0005858564 |
Business Practice Address: | 629 6th St Clarkston, WA - 994032010 |
Business Phone Number: | 5097589698 |
Business Fax Number: | 5097589664 |
Mailing Address: | 629 6th St, CLARKSTON |
State: | WA |
Postal Code: | 994032010 |
Phone Number: | 5097589698 |
Fax Number: | 5097589664 |
NPI Enumeration Date: | 07/30/2007 |
NPI Last Update Date: | 10/27/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | RC0005858564 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |