Most Relevant Information
Provider Data
| NPI Number: | 1003506395 |
| Provider Name: | TAYLOR THRASHER BA |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/10/2023 |
| Last Updated: | 05/10/2023 |
Provider Practice Location
1307 W MAIN ST
MARION
IL
629591139
Practice Location Phone/Fax
| Phone: | 6189975336 |
| Fax: | 6189932969 |
Provider Mailing Location
902 W MAIN ST
WEST FRANKFORT
IL
628962210
Provider Mailing Phone/Fax
| Phone: | 6189376483 |
| Fax: | 6189371440 |