Individual provider · Type 1 NPI

Matthew Lucky Taylor, CASAC-T

Addiction (Substance Use Disorder) Counselor · New York, NY

NPI number 1952799728 Active

Practice location

177 E 122nd St
New York, NY 10035-2906

Fax (212) 289-5651

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X22652 (NY)

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

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About NPI 1952799728

Matthew Lucky Taylor, CASAC-T's National Provider Identifier is 1952799728, issued on Jan 2, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in New York, NY. The record was last updated on Jan 26, 2015.