Amundson, Taylor
Amundson, Taylor is an individual health care provider with primary practice located at 5540 W Glendale Ave Ste C102 , Glendale AZ 85301-2581. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Amundson, Taylor can be contacted via phone (623) 248-0283.Contact Information
Primary practice address
5540 W Glendale Ave Ste C102
Glendale AZ 85301-2581
Phone: (623) 248-0283
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LASAC-15479 | Arizona |
Behavioral Health & Social Service Providers / Counselor | 101Y00000X | LAC-22446 | Arizona |
Profile Details
NPI number | 1780458745 |
---|---|
LBN Legal business name | Amundson, Taylor |
Credentials | LAC, LASAC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 9th, 2023 |
Last updated | Nov 9th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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