Most Relevant Information
Provider Data
| NPI Number: | 1003677956 |
| Provider Name: | TAYLOR OLIVIA BOUTON LMSW |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 121498 |
Most Important Dates
| Enumeration Date: | 01/18/2024 |
| Last Updated: | 01/18/2024 |
Provider Practice Location
16 N GREENBUSH RD STE 205
TROY
NY
121808581
Practice Location Phone/Fax
| Phone: | 5183232826 |
| Fax: |
Provider Mailing Location
16 N GREENBUSH RD STE 205
TROY
NY
121808581
Provider Mailing Phone/Fax
| Phone: | 5183232826 |
| Fax: |