Provider Demographics
NPI:1609589787
Name:GUERNSEY, TAYLOR (MS, LPCC)
Entity Type:Individual
Prefix:MS
First Name:TAYLOR
Middle Name:
Last Name:GUERNSEY
Suffix:
Gender:F
Credentials:MS, LPCC
Other - Prefix:
Other - First Name:TAYLOR
Other - Middle Name:
Other - Last Name:BREIDENBACH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CRC
Mailing Address - Street 1:9120 SPRINGBROOK DR NW
Mailing Address - Street 2:
Mailing Address - City:COON RAPIDS
Mailing Address - State:MN
Mailing Address - Zip Code:55433-5845
Mailing Address - Country:US
Mailing Address - Phone:612-400-6108
Mailing Address - Fax:
Practice Address - Street 1:9120 SPRINGBROOK DR NW
Practice Address - Street 2:
Practice Address - City:COON RAPIDS
Practice Address - State:MN
Practice Address - Zip Code:55433-5845
Practice Address - Country:US
Practice Address - Phone:612-400-6108
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-03
Last Update Date:2023-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional