AL CHARLESTON TAYLOR

SAN RAFAEL, CA
NPI1750540852
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
(Licence: CA  98721)
Additional Taxonomies1041C0700X Social Worker, Clinical
(Licence: CA  98721)
390200000X Student in an Organized Health Care Education/Training Program
101Y00000X Counselor
(Licence: CA  98721)
Enumeration Date2008-06-03
Last Update Date2023-09-15
Business Address
AL CHARLESTON TAYLOR
1089 LEA DR
SAN RAFAEL, CA 94903-3746
Phone number: 510-575-1179
Mailing Address
AL CHARLESTON TAYLOR
1380 HOWARD ST
SAN FRANCISCO, CA 94103-2638
Phone number: 510-575-1179