Mackenzie L Taylor, LICSW

NPI #1114166337 in Longview, Washington

Provider Information

NPI Number
1114166337
Entity Type
Individual
Name
Mackenzie L Taylor, LICSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor
Credential
LICSW
Enumeration Date
Feb 11, 2009
Last Updated
May 7, 2019

Practice Location

Address
1655 HUDSON ST STE 5
ZIP Code
98632-2949
Phone
(503) 926-9413

Specialties & Taxonomy Codes

Specialty
Counselor
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)
Social Worker - ClinicalClinical

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