# TYREE DEANA TALLEY

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

## Provider details

- **NPI number:** 1679266076
- **Gender:** F
- **Credential:** CSAC-S, QMHP A/C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | 0732008364 | VA | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 0709024432 | VA | Yes |

## Other

- **Enumeration date:** 05/31/2023
- **Last updated:** 05/31/2023