person
Mr. Evanglist Cory Taylor III
Addiction (Substance Use Disorder) Counselor in Ceres, California
NPI 1639414899

Evanglist Cory Taylor III is an Addiction (Substance Use Disorder) Counselor based in Ceres, CA and is specialized in Addiction (Substance Use Disorder). Evanglist Cory Taylor III practices in Ceres, CA. The NPI Number for Evanglist Cory Taylor III is 1639414899 and holds a License No. (California).

The current practice location address for Evanglist Cory Taylor III is 1904 Richland Ave, Ceres, CA and can be reached out via phone at 209-541-2121.

Location: 1904 Richland Ave, Ceres, CA, 95307
person
Provider Profile Details
NPI Number
1639414899
Provider Name
Evanglist Cory Taylor III
Credential
Provider Entity Type
Individual
Gender
Male
Address
1904 Richland Ave, Ceres, CA, 95307
Phone Number
209-541-2121
Fax Number
Provider Enumeration Date
11/29/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1904 Richland Ave
City
State
Zip
95307-4562
Phone Number
209-541-2121
Fax Number
person
Provider Business Mailing Address Details
Address
1904 Richland Ave
City
State
Zip
95307-4562
Phone Number
209-541-2121
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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