Provider Demographics
NPI:1942331657
Name:TAYLOR, CHRISTINA NAOMI (BA)
Entity Type:Individual
Prefix:MISS
First Name:CHRISTINA
Middle Name:NAOMI
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:851 SOFT WIND RD APT 4
Mailing Address - Street 2:
Mailing Address - City:VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:92081-6428
Mailing Address - Country:US
Mailing Address - Phone:760-583-6753
Mailing Address - Fax:
Practice Address - Street 1:1919 APPLE ST
Practice Address - Street 2:A & B
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92054-4443
Practice Address - Country:US
Practice Address - Phone:760-439-4577
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor