Jaquell Rena Taylor
Jaquell Rena Taylor is a Mental Health Counselor in Fort Wayne, Indiana. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
3822 Vance AveFort Wayne, IN 46805-1642
Phone: (614) 207-0246
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1093594145 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | September 27, 2023 |
| Last updated in NPPES | September 27, 2023 |
| Certification date | September 27, 2023 |
| Mailing address | 3822 Vance Ave, Fort Wayne, IN 46805-1642 |
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