Provider Demographics
NPI:1467740886
Name:TAYLOR, MARK ALLEN (LPCC 19467)
Entity type:Individual
Prefix:DR
First Name:MARK
Middle Name:ALLEN
Last Name:TAYLOR
Suffix:
Gender:M
Credentials:LPCC 19467
Other - Prefix:DR
Other - First Name:MARK
Other - Middle Name:A
Other - Last Name:TAYLOR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPCC 19467
Mailing Address - Street 1:1020 W GROVE AVE
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93291-2839
Mailing Address - Country:US
Mailing Address - Phone:559-972-0511
Mailing Address - Fax:
Practice Address - Street 1:1020 W GROVE AVE
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93291-2839
Practice Address - Country:US
Practice Address - Phone:559-972-0511
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-19
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP2500X
CA19467101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional