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Jerry Taylor, CCDC1
Addiction (Substance Use Disorder) Counselor in Xenia, Ohio
NPI 1598954901

Jerry Taylor is an Addiction (Substance Use Disorder) Counselor based in Xenia, OH and is specialized in Addiction (Substance Use Disorder). Jerry Taylor practices in Xenia, OH and has the professional credentials of CCDC1. The NPI Number for Jerry Taylor is 1598954901 and holds a License No. 021296 (Ohio).

The current practice location address for Jerry Taylor is 452 W Market St, Xenia, OH and can be reached out via phone at 937-376-8700 and via fax at 937-376-0184.

Location: 452 W Market St, Xenia, OH, 45385-2815
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598954901
Provider Name
Jerry Taylor
Credential
CCDC1
Provider Entity Type
Individual
Gender
Male
Address
452 W Market St, Xenia, OH, 45385-2815
Phone Number
937-376-8700
Fax Number
937-376-0184
Provider Enumeration Date
10/22/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
452 W Market St
City
Xenia
State
Ohio
Zip
45385-2815
Phone Number
937-376-8700
Fax Number
937-376-0184
person
Provider Business Mailing Address Details
Address
452 W Market St
City
Xenia
State
Ohio
Zip
45385-2815
Phone Number
937-376-8700
Fax Number
937-376-0184
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
021296 (Ohio)
Definition
Definition to come...
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