Individual
TIERNEY NICHOLE TALMADGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACMHC
Contact information
Practice address
344 E 100 S, SALT LAKE CITY, UT 84111-1700
(801) 428-4257
Mailing address
344 E 100 S, SALT LAKE CITY, UT 84111-1700
(801) 428-4257
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10387308-6009
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10387308-6009
DOPL LICENSE NUMBER
UT
Enumeration date
09/19/2017
Last updated
05/20/2024
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