# MS. FAITH ANN TALLWHITEMAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1407215577
- **Gender:** F
- **Credential:** BBH-LAC-LIC-30311

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | BBH-ACLC-LIC-13362 | MT | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | BBH-LAC-LIC-30311 | MT | Yes |
| 1041C0700X | Clinical Social Worker | BBH-SWLC-LIC-32305 | MT | — |

## Other

- **Enumeration date:** 02/18/2016
- **Last updated:** 07/21/2021