Individual
DR. MARK JASON TALIANCICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, PHD, LPC
Contact information
Practice address
1601 BARONNE ST, NEW ORLEANS, LA 70113-1303
(504) 206-2447
Mailing address
4300 GENERAL MEYER AVE, NEW ORLEANS, LA 70131-3528
(504) 453-7831
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
9913
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9913
LICENSED PROFESSIONAL COUNSELORS BOARD OF EXAMINERS
LA
Enumeration date
02/09/2012
Last updated
01/24/2024
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