Individual provider · Type 1 NPI
Jaquell Rena Taylor
Mental Health Counselor · Fort Wayne, IN
NPI number
1093594145
Active
Practice location
3822 Vance Ave
Fort Wayne, IN 46805-1642
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
Another provider at this address
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About NPI 1093594145
Jaquell Rena Taylor's National Provider Identifier is 1093594145, issued on Sep 27, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fort Wayne, IN. The record was last updated on Sep 27, 2023.