Most Relevant Information
Provider Data
| NPI Number: | 1003271842 |
| Provider Name: | MICHELLE TAYLOR |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 5004 |
Most Important Dates
| Enumeration Date: | 12/21/2015 |
| Last Updated: | 12/01/2020 |
Provider Practice Location
5202 VERDURA AVE
LAKEWOOD
CA
907122228
Practice Location Phone/Fax
| Phone: | 8319179179 |
| Fax: |
Provider Mailing Location
5202 VERDURA AVE
LAKEWOOD
CA
907122228
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |