Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 10826 | TX |
N | 101YM0800X | Mental Health Counselor | 65340 | TX |
N | 101YP1600X | Pastoral Counselor | TX | |
Y | 101YP2500X | Professional Counselor | 65340 | TX |
N | 101YS0200X | School Counselor | TX |
NPI | 1255572632 |
---|---|
Provider Name | Mr. Rodney W. Taylor |
First Address | Glenn Heights, TX 75154-8224 |
Second Address | Glenn Heights, TX 75154-8224 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/03/2009 |
Last Update Date | 04/05/2012 |