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NPI Code Detail

MEDICARE: MS. RALAINA M TAYLOR

MEDICARE: MS. RALAINA M 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 : 1730486887
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. RALAINA M TAYLOR
Provider Business Mailing Address
First Line : 390 W 1ST N
Second Line :
City : EPHRAIM
State : UT
Zip : 84627-2131
Country : US
Telephone Number : 435-283-4065
Fax Number : 435-283-5387
Provider Business Practice Location Address
First Line : 152 N 400 W
Second Line :
City : EPHRAIM
State : UT
Zip : 84627-5549
Country : US
Telephone Number : 435-283-8400
Fax Number : 435-283-8401
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2011
Last Update Date : 02/24/2011

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Directions to “ MS. RALAINA M TAYLOR ” Practice Location

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