Most Relevant Information
Provider Data
| NPI Number: | 1003812157 |
| Provider Name: | MARK L TAYLOR CADC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | 2882 |
Most Important Dates
| Enumeration Date: | 06/23/2005 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
1910 SOUTH AVE
LA CROSSE
WI
546015467
Practice Location Phone/Fax
| Phone: | 6087752287 |
| Fax: |
Provider Mailing Location
1836 SOUTH AVE
LA CROSSE
WI
546015467
Provider Mailing Phone/Fax
| Phone: | 6087827300 |
| Fax: |