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Individual
ANTHONY M TALLEY SR.
Active
Individual
ANTHONY M TALLEY SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
87001582A
IN
101YM0800X
Mental Health Counselor
Primary
39002852A
IN
Other
Enumeration date
04/06/2016
Last updated
11/08/2022
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