Individual provider · Type 1 NPI

Taylor Amundson, LAC, LASAC

Counselor · Glendale, AZ

NPI number 1780458745 Active

Practice location

5540 W Glendale Ave Ste C102
Glendale, AZ 85301-2581

Mailing address

8205 S Priest Dr Unit 12451
Tempe, AZ 85284-0175

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XLASAC-15479 (AZ)
Counselor Primary 101Y00000XLAC-22446 (AZ)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1780458745

Taylor Amundson, LAC, LASAC's National Provider Identifier is 1780458745, issued on Nov 9, 2023. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Glendale, AZ. The record was last updated on Nov 9, 2023.