Individual provider · Type 1 NPI

Jacqueline Nicole Taylor, LPCA

Mental Health Counselor · New Haven, CT

NPI number 1073399242 Active

Practice location

458 Grand Ave
New Haven, CT 06513-3856

Mailing address

62 Sylvan Ave
New Haven, CT 06519-1025

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X6415 (CT)

Mental Health Counselor: Definition to come...

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About NPI 1073399242

Jacqueline Nicole Taylor, LPCA's National Provider Identifier is 1073399242, issued on Sep 5, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in New Haven, CT. The record was last updated on Sep 5, 2023.