Individual
AMANDA TALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
6600 LBJ FWY STE 240, DALLAS, TX 75240-6550
(214) 707-7239
Mailing address
7001 W PARKER RD APT 931, PLANO, TX 75093-8620
(214) 707-7239
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
73318
TX
Other
Enumeration date
07/11/2019
Last updated
07/11/2019
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