person
Mrs. Teresa Lee Taylor, MES
Addiction (Substance Use Disorder) Counselor in Waupaca, Wisconsin
NPI 1275622524

Teresa Lee Taylor is an Addiction (Substance Use Disorder) Counselor based in Waupaca, WI and is specialized in Addiction (Substance Use Disorder). Teresa Lee Taylor practices in Waupaca, WI and has the professional credentials of MES. The NPI Number for Teresa Lee Taylor is 1275622524 and holds a License No. 1862 (Wisconsin).

The current practice location address for Teresa Lee Taylor is 190 Grand Seasons Dr, Waupaca, WI and can be reached out via phone at 715-258-8459 and via fax at 715-258-0878.

Location: 190 Grand Seasons Dr, Waupaca, WI, 54981-8219
person
Provider Profile Details
NPI Number
1275622524
Provider Name
Teresa Lee Taylor
Credential
MES
Provider Entity Type
Individual
Gender
Female
Address
190 Grand Seasons Dr, Waupaca, WI, 54981-8219
Phone Number
715-258-8459
Fax Number
715-258-0878
Provider Enumeration Date
10/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
39346800 05 WI
P00136897 01 WI NETWORK HEALTH PROV #
institution
Provider Business Practice Location Address Details
Address
190 Grand Seasons Dr
City
State
Zip
54981-8219
Phone Number
715-258-8459
Fax Number
715-258-0878
person
Provider Business Mailing Address Details
Address
190 Grand Seasons Dr
City
State
Zip
54981-8219
Phone Number
715-258-8459
Fax Number
715-258-0878
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
1862 (Wisconsin)
Definition
Definition to come...
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