Individual
ZACHARY CHARLES TALBOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADAC, LMSW, MAC
Contact information
Practice address
1821 W BROADWAY AVE, MARYVILLE, TN 37801-5511
(865) 964-5748
Mailing address
PO BOX 6375, MARYVILLE, TN 37802-6375
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1413
TN
101YA0400X
Addiction (Substance Use Disorder) Counselor
C0312
GA
104100000X
Social Worker
12713
TN
104100000X
Social Worker
—
—
Other
Enumeration date
11/22/2016
Last updated
05/25/2022
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