TAYLOR BLAKE EDWARDS

DAYTON, TX
NPI1508632779
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX  16715)
Enumeration Date2023-11-29
Last Update Date2023-12-27
Business Address
TAYLOR BLAKE EDWARDS LCDC
904 FM 686
DAYTON, TX 77535-2299
Phone number: 936-257-8584
Mailing Address
TAYLOR BLAKE EDWARDS LCDC
3306 ABBEY FIELD LN
PORTER, TX 77365-8514
Phone number: 903-754-3457