Most Relevant Information
Provider Data
| NPI Number: | 1003665621 |
| Provider Name: | MARK C. TAYLOR MSW, LMHP-S, CSAC, |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | 0906015135 |
Most Important Dates
| Enumeration Date: | 05/15/2024 |
| Last Updated: | 05/15/2024 |
Provider Practice Location
1731 N 28TH ST
RICHMOND
VA
232235317
Practice Location Phone/Fax
| Phone: | 8043018400 |
| Fax: |
Provider Mailing Location
1731 N 28TH ST
RICHMOND
VA
232235317
Provider Mailing Phone/Fax
| Phone: | 8043018400 |
| Fax: |