Individual
JESSE TALLYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW, LCDP, CADC
Contact information
Practice address
24077 COUNTRY LIVING RD STE 2, MILLSBORO, DE 19966-3188
(302) 224-1400
(302) 224-1402
Mailing address
24077 COUNTRY LIVING RD STE 2, MILLSBORO, DE 19966-3188
(302) 224-1400
(302) 224-1402
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CD-0010151
DE
104100000X
Social Worker
Primary
Q3-0011153
DE
1041C0700X
Clinical Social Worker
Primary
Q1-0012889
DE
Other
Enumeration date
12/08/2025
Last updated
02/27/2026
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