Individual
REID TALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADCDP
Contact information
Practice address
12010 ELMHURST, DETROIT, MI 48206
(313) 867-1090
(313) 867-0706
Mailing address
12010 ELMHURST, 19451 MENDOTA, DETROIT, MI 48206-4820
(313) 867-1090
(313) 867-0706
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6803086847
MI
175T00000X
Peer Specialist
—
MI
Other
Enumeration date
11/30/2018
Last updated
03/17/2023
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