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NPI Code Detail

MEDICARE: MARC P TAYLOR LPC

MEDICARE: MARC P TAYLOR LPC
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
1101Y00000XCounselor0701002371VA

General Provider Information

NPI Number : 1366490922
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARC P TAYLOR LPC
Provider Business Mailing Address
First Line : 517 W GRACE ST
Second Line :
City : RICHMOND
State : VA
Zip : 23220-4911
Country : US
Telephone Number : 804-738-2505
Fax Number : 804-783-2514
Provider Business Practice Location Address
First Line : 517 W GRACE ST
Second Line :
City : RICHMOND
State : VA
Zip : 23220-4911
Country : US
Telephone Number : 804-738-2505
Fax Number : 804-783-2514
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2006
Last Update Date : 08/29/2007

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Directions to “ MARC P TAYLOR LPC” Practice Location

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