Individual provider · Type 1 NPI
Evanglist Cory Taylor Iii
Addiction (Substance Use Disorder) Counselor · Ceres, CA
NPI number
1639414899
Active
Practice location
1904 Richland Ave
Ceres, CA 95307-4562
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1639414899
Evanglist Cory Taylor Iii's National Provider Identifier is 1639414899, issued on Nov 29, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Ceres, CA. The record was last updated on Sep 27, 2023.