Individual provider · Type 1 NPI

Timothy Joseph Taylor I, L.C.D.P.

Addiction (Substance Use Disorder) Counselor · Providence, RI

NPI number 1659796027 Active

Practice location

188 Academy Ave
Providence, RI 02908-4452

Fax (401) 383-5822

Mailing address

530 N Main St
Providence, RI 02904-5762

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDP00570 (RI)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1659796027

Timothy Joseph Taylor I, L.C.D.P.'s National Provider Identifier is 1659796027, issued on Feb 21, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Providence, RI. The record was last updated on Feb 21, 2014.