Individual
CHRISTINE M. TALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
30387 US HIGHWAY 19 N, CLEARWATER, FL 33761-1053
(727) 781-2955
Mailing address
1965 TEAL CIR, GULF BREEZE, FL 32563-8979
(859) 797-6977
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
12939754-3501
UT
1041C0700X
Clinical Social Worker
14755
LA
1041C0700X
Clinical Social Worker
LC21653
ME
1041C0700X
Clinical Social Worker
LCSW-44957
ID
1041C0700X
Clinical Social Worker
Primary
SW25025
FL
Other
Enumeration date
02/07/2012
Last updated
11/10/2025
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