EVANGLIST CORY TAYLOR

CERES, CA
NPI1639414899
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2012-11-29
Last Update Date2023-09-27
Business Address
Mr. EVANGLIST CORY TAYLOR
1904 RICHLAND AVE
CERES, CA 95307-4562
Phone number: 209-541-2121
Mailing Address
Mr. EVANGLIST CORY TAYLOR
1904 RICHLAND AVE
CERES, CA 95307
Phone number: 209-525-7466