Taylor, Al Charleston

Taylor, Al Charleston is an sole proprietor health care provider with primary practice located at 1089 Lea Dr , San Rafael CA 94903-3746. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Social Worker is his primary health care specialty. Taylor, Al Charleston can be contacted via phone (510) 575-1179.

Contact Information

Primary practice address
1089 Lea Dr San Rafael CA 94903-3746
Phone: (510) 575-1179
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 98721 California
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Social Worker 104100000X 98721 California
Behavioral Health & Social Service Providers / Counselor 101Y00000X 98721 California

Profile Details

NPI number 1750540852
LBN Legal business name Taylor, Al Charleston
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 3rd, 2008
Last updated Sep 15th, 2023 - about last year

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.

Request for update

Popular Providers