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Jack Kennedy Taylor, LPC
Mental Health Counselor in Lytle, Texas
NPI 1922872209

Jack Kennedy Taylor is a Mental Health Counselor based in Lytle, TX and is specialized in Mental Health. Jack Kennedy Taylor practices in Lytle, TX and has the professional credentials of LPC. The NPI Number for Jack Kennedy Taylor is 1922872209 and holds a License No. 87648 (Texas).

The current practice location address for Jack Kennedy Taylor is 19971 Fm 3175, Lytle, TX and can be reached out via phone at 512-755-0521.

Location: 19971 Fm 3175, Lytle, TX, 78052-1262
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922872209
Provider Name
Jack Kennedy Taylor
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
19971 Fm 3175, Lytle, TX, 78052-1262
Phone Number
512-755-0521
Fax Number
Provider Enumeration Date
11/08/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
19971 Fm 3175
City
Lytle
State
Texas
Zip
78052-3481
Phone Number
512-755-0521
Fax Number
person
Provider Business Mailing Address Details
Address
19971 Fm 3175
City
Lytle
State
Texas
Zip
78052-3481
Phone Number
512-755-0521
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
87648 (Texas)
Definition
Definition to come...
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