Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YP2500X | Professional Counselor | 6401016134 | MI |
Y | 101YP2500X | Professional Counselor | 6401017777 | MI |
N | 101YS0200X | School Counselor | SC0000000946263 | MI |
NPI | 1073030615 |
---|---|
Provider Name | Taylour Gillett |
First Address | Clinton Twp, MI 48038-1651 |
Second Address | Clinton Twp, MI 48038-1651 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/08/2017 |
Last Update Date | 12/11/2019 |