Michael Taylor, LPHA, LCPC, CRC

NPI 1811419435 · on the registry since 2017

Practice

Address: 904 E. Martin Luther King Drive
Centralia, IL 62801
Phone: (618) 533-1391
Fax: (618) 533-0012
Organisation at this address: Community Resource Center Inc
Community Resource Center Inc.
Community Resource Center Inc.
Community Resource Center Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 78

Registry record

Primary taxonomy: 101YP2500X
101YP2500X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2022-07-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois