person
Ethan Gray Taylor, LPC-A
Professional Counselor in Lexington, South Carolina
NPI 1629788955

Ethan Gray Taylor is a Professional Counselor based in Lexington, SC and is specialized in Professional. Ethan Gray Taylor practices in Lexington, SC and has the professional credentials of LPC-A. The NPI Number for Ethan Gray Taylor is 1629788955 and holds a License No. 8213 (South Carolina).

The current practice location address for Ethan Gray Taylor is 426 S Lake Dr, Lexington, SC and can be reached out via phone at 803-814-5559. You can also correspond with Ethan Gray Taylor through the mailing address at 426 S LAKE DR, LEXINGTON, SC - 29072-3414 (mailing address contact number: 803-814-5559).

Location: 426 S Lake Dr, Lexington, SC, 29072-3414
person
Provider Profile Details
NPI Number
1629788955
Provider Name
Ethan Gray Taylor
Credential
LPC-A
Provider Entity Type
Individual
Gender
Male
Address
426 S Lake Dr, Lexington, SC, 29072-3414
Phone Number
803-814-5559
Fax Number
Provider Enumeration Date
11/28/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
426 S Lake Dr
City
State
Zip
29072-3414
Phone Number
803-814-5559
Fax Number
person
Provider Business Mailing Address Details
Address
426 S Lake Dr
City
State
Zip
29072-3414
Phone Number
803-814-5559
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
8213 (South Carolina)
Definition
Definition to come...
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