Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Evanglist Cory Taylor III

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1639414899

Mr. Evanglist Cory Taylor III is an Addiction (Substance Use Disorder) Counselor in Ceres, California. Registered with an NPI since 2012.

In the registry since
2012

Practice location Address checks out

1904 Richland Ave
Ceres, CA 95307-4562
Phone: (209) 541-2121
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1639414899
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 29, 2012
Last updated in NPPESSeptember 27, 2023
Certification dateSeptember 27, 2023

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