Individual
SCHELANDRIA RENEE' TALLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. L.C.D.C
Contact information
Practice address
2120 STOVALL DR, DALLAS, TX 75216-4539
(214) 622-2579
Mailing address
2120 STOVALL DR, DALLAS, TX 75216-4539
(214) 622-2579
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12091
TX
Other
Enumeration date
09/22/2021
Last updated
09/22/2021
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