Individual
TARA S SLAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ALC
Contact information
Practice address
198 US HIGHWAY 278 E, CULLMAN, AL 35055-0690
(888) 355-7080
Mailing address
198 US HIGHWAY 278 E, CULLMAN, AL 35055-0690
(888) 355-7080
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
ALC04376
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
235540
—
AL
Enumeration date
01/25/2023
Last updated
01/25/2023
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