| NPI | 1497243109 |
|---|---|
| Other Name | LAWRENCE TAYLOR |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 15-CRM-017) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR 19-QMHA-I-00478) |
| 175T00000X Peer Specialist (Licence: OR THW000002408) | |
| Enumeration Date | 2018-04-27 |
| Last Update Date | 2019-04-17 |