Taylor, Jack Kennedy

Taylor, Jack Kennedy is an sole proprietor health care provider with primary practice located at 19971 Fm 3175 , Lytle TX 78052-3481. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Taylor, Jack Kennedy can be contacted via phone (512) 755-0521.

Contact Information

Primary practice address
19971 Fm 3175 Lytle TX 78052-3481
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 87648 Texas

Profile Details

NPI number 1922872209
LBN Legal business name Taylor, Jack Kennedy
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 8th, 2023
Last updated Nov 8th, 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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