Shasta Dennine Taylor, LCPC, LCADC, NCC
NPI #1629746144 in Princess Anne, Maryland
Provider Information
- NPI Number
- 1629746144
- Entity Type
- Individual
- Name
- Shasta Dennine Taylor, LCPC, LCADC, NCC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- LCPC, LCADC, NCC
- Enumeration Date
- Aug 31, 2021
- Last Updated
- Aug 31, 2021
Practice Location
- Address
- 13653 CROWS FOOT LN
- City
- Princess Anne
- State
- Maryland
- ZIP Code
- 21853-3211
- Phone
- (140) 845-1796
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Counselor - Professional — Professional |
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