Individual
TANYA J. MCNALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OQMHP-C-PNMI
Contact information
Practice address
127 PALMER ST, CALAIS, ME 04619-1300
(207) 454-0270
(207) 454-0775
Mailing address
127 PALMER ST, CALAIS, ME 04619-1300
(207) 454-0270
(207) 454-0775
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01276859
—
ME
Enumeration date
01/04/2013
Last updated
01/04/2013
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