Individual provider · Type 1 NPI

Jonathan Tallar

Addiction (Substance Use Disorder) Counselor · West Allis, WI

NPI number 1093433146 Active

Practice location

2814 S 108th St
West Allis, WI 53227-3224

Call (414) 885-3525 Map

Fax (262) 643-4617

Mailing address

8444 N 90th St Ste 100
Scottsdale, AZ 85258-4437

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X19776-130 (WI)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1093433146

Jonathan Tallar's National Provider Identifier is 1093433146, issued on Aug 16, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in West Allis, WI. The record was last updated on Aug 16, 2022.