Individual
LISA TALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
160 FOWLER RD, WALHALLA, SC 29691-1613
(864) 364-3492
Mailing address
160 FOWLER RD, WALHALLA, SC 29691-1613
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
9143
SC
Other
Enumeration date
12/16/2025
Last updated
12/16/2025
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