Taylor Ray Tanner, LPC-C

NPI #1215688247 in Vinita, Oklahoma

Provider Information

NPI Number: 1215688247
Entity Type: Individual
Name: Taylor Ray Tanner, LPC-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: LPC-C
Enumeration Date: Jan 11, 2022
Last Updated: Jan 11, 2022

Practice Location

Address: 27371 S 4410 RD
City: Vinita
State: Oklahoma
ZIP Code: 74301-7953
Phone: (918) 256-4800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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