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

Mr. Jared Jearial Taylor, LCDC-INTERN

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1467370684

Mr. Jared Jearial Taylor, LCDC-INTERN is an Addiction (Substance Use Disorder) Counselor in Stafford, Texas. Licensed in Texas. Registered with an NPI since 2026.

Licensed in
TX
In the registry since
2026

Practice location Address checks out

10707 Corporate Dr Ste 100G
Stafford, TX 77477-4001
Phone: (346) 639-8632
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 (TX)

Record details

NPI number1467370684
Entity typeIndividual (Type 1)
GenderMale
Credentials LCDC-INTERN
Sole proprietorNo
NPI enumeratedJuly 7, 2026
Last updated in NPPESJuly 7, 2026
Certification dateJuly 7, 2026

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