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NPI Code Detail

MEDICARE: MS. TAYLAR CHRYSTINE DELISLE LMHC

MEDICARE: MS. TAYLAR CHRYSTINE DELISLE LMHC
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 Counselor013415NY

General Provider Information

NPI Number : 1295422491
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. TAYLAR CHRYSTINE DELISLE LMHC
Provider Business Mailing Address
First Line : 35 BATH ST
Second Line :
City : BALLSTON SPA
State : NY
Zip : 12020-1745
Country : US
Telephone Number : 518-245-6272
Fax Number :
Provider Business Practice Location Address
First Line : 35 BATH ST
Second Line :
City : BALLSTON SPA
State : NY
Zip : 12020-1745
Country : US
Telephone Number : 518-245-6272
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2023
Last Update Date : 04/19/2023

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