Most Relevant Information
Provider Data
| NPI Number: | 1003834144 |
| Provider Name: | JOHN R TAYLOR LPC-S |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | 11217-0506 |
Most Important Dates
| Enumeration Date: | 07/17/2006 |
| Last Updated: | 09/18/2014 |
Provider Practice Location
1310 MARTIN
MASON
TX
76856
Practice Location Phone/Fax
| Phone: | 3252608044 |
| Fax: |
Provider Mailing Location
PO BOX 1048
MASON
TX
768561048
Provider Mailing Phone/Fax
| Phone: | 3252608044 |
| Fax: |