Individual provider · Type 1 NPI

Jeremy Ryan Tallman, LCPC

Mental Health Counselor · Columbia, MD

NPI number 1225574031 Active

Practice location

9030 Route 108, Suite A
Columbia, MD 21045-1990

Fax (410) 740-2503

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLC7560 (MD)

Mental Health Counselor: Definition to come...

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About NPI 1225574031

Jeremy Ryan Tallman, LCPC's National Provider Identifier is 1225574031, issued on Jan 18, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Columbia, MD. The record was last updated on Jan 18, 2017.