Individual
ANDRE TALBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CIT
Contact information
Practice address
8404 BASELINE RD, LITTLE ROCK, AR 72209-4339
(501) 663-0708
Mailing address
8404 BASELINE RD, LITTLE ROCK, AR 72209-4339
(501) 663-0708
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
106
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106
QUALIFIED BEHAVIORAL HEALTH PROVIDER, CIT
AR
Enumeration date
03/09/2021
Last updated
03/09/2021
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