TAYLOR AMUNDSON, LAC, LASAC, Counselor GLENDALE, AZ

Contact Information

TAYLOR AMUNDSON, LAC, LASAC

5540 W GLENDALE AVE STE C102
GLENDALE, AZ 85301-2581

Phone: 623-248-0283
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Counselor	101Y00000X
Addiction (Substance Use Disorder)	101YA0400X

Indicates primary specialty

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NPI Profile & details for TAYLOR AMUNDSON · (Female)

NPI Number	`1780458745`
Status	Active
Credentials	LAC, LASAC
Entity	Individual
Enumeration date	11/09/2023
Last updated	11/09/2023 - About 3 years ago
Sole proprietor ¹	No
Identifiers	AZ License # LAC-22446 AZ License # LASAC-15479
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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