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NPI Code Detail

MEDICARE: ANNE GANONG-TAYLOR

MEDICARE: ANNE GANONG-TAYLOR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1245192749
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNE GANONG-TAYLOR
Provider Business Mailing Address
First Line : 1515 OLD FORT RD
Second Line :
City : KLAMATH FALLS
State : OR
Zip : 97601-9374
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1515 OLD FORT RD
Second Line :
City : KLAMATH FALLS
State : OR
Zip : 97601-9374
Country : US
Telephone Number : 541-273-2022
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2025
Last Update Date : 12/02/2025

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Directions to “ ANNE GANONG-TAYLOR ” Practice Location

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