Individual
AMANDA TONNELL TALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
713 SANDRA ST, MONTGOMERY, AL 36105-1519
(334) 604-1119
Mailing address
713 SANDRA ST, MONTGOMERY, AL 36105-1519
(334) 604-1119
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
AL
Other
Enumeration date
09/24/2025
Last updated
09/24/2025
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