Individual
MR. MICHAEL RICHARD TALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
107 S 5TH ST, RICHMOND, VA 23219-3825
(804) 819-4000
(804) 819-5221
Mailing address
107 S 5TH ST, RICHMOND, VA 23219-3825
(804) 819-4000
(804) 819-5221
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701014480
VA
Other
Enumeration date
02/24/2025
Last updated
02/24/2025
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