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Individual
REID TALLEY
Active
Individual
REID TALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADCDP
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6803086847
MI
175T00000X
Peer Specialist
—
MI
Other
Enumeration date
11/30/2018
Last updated
03/17/2023
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