Provider Demographics
NPI:1700027356
Name:TAGGART, JAMES FRANCIS JR (MED , LMHC)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:FRANCIS
Last Name:TAGGART
Suffix:JR
Gender:M
Credentials:MED , LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 SALEM ST
Mailing Address - Street 2:
Mailing Address - City:WAKEFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01880-1838
Mailing Address - Country:US
Mailing Address - Phone:781-246-9049
Mailing Address - Fax:
Practice Address - Street 1:38 SALEM ST
Practice Address - Street 2:
Practice Address - City:WAKEFIELD
Practice Address - State:MA
Practice Address - Zip Code:01880-1838
Practice Address - Country:US
Practice Address - Phone:781-246-9049
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-11
Last Update Date:2009-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
6952101YA0400X
MA6952101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA6952OtherLICENSED MENTAL HEALTH COUNSELOR