Individual
ANTHONY M TALLEY SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
8760 POWDERHORN WAY, INDIANAPOLIS, IN 46256-1178
(317) 590-4572
(866) 598-3720
Mailing address
8760 POWDERHORN WAY, INDIANAPOLIS, IN 46256-1178
(317) 590-4572
(866) 598-3720
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
87001582A
IN
101YM0800X
Mental Health Counselor
Primary
39002852A
IN
Other
Enumeration date
04/06/2016
Last updated
11/08/2022
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