Most Relevant Information
Provider Data
| NPI Number: | 1003175100 |
| Provider Name: | JENNIFER JO TAYLOR LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 862 |
Most Important Dates
| Enumeration Date: | 05/09/2012 |
| Last Updated: | 09/30/2019 |
Provider Practice Location
200 RUSSELL ST NE FL 2
HUNTSVILLE
AL
35801
Practice Location Phone/Fax
| Phone: | 2566512413 |
| Fax: | 8872280054 |
Provider Mailing Location
200 RUSSELL ST NE
HUNTSVILLE
AL
358013602
Provider Mailing Phone/Fax
| Phone: | 2566512413 |
| Fax: | 8772280054 |