Individual provider · Type 1 NPI

Johnny Willie Taylor Jr.

Addiction (Substance Use Disorder) Counselor · Bronx, NY

NPI number 1538676705 Active

Practice location

1600 Macombs Rd
Bronx, NY 10452-2016

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X24840 (NY)
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed

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About NPI 1538676705

Johnny Willie Taylor Jr.'s National Provider Identifier is 1538676705, issued on Jan 9, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bronx, NY. The record was last updated on Jan 9, 2018.