Individual
DANIEL TALLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW, CADC
Contact information
Practice address
595 ASHLEY CT STE 7, NORTH LIBERTY, IA 52317-4758
(319) 621-2587
Mailing address
1335 HANCOCK ST, NORTH LIBERTY, IA 52317-4852
(319) 621-2587
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
17049
IA
1041C0700X
Clinical Social Worker
Primary
095366
IA
Other
Enumeration date
05/03/2016
Last updated
07/20/2019
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