Individual provider · Type 1 NPI
Shanda Lynn Tallant
Addiction (Substance Use Disorder) Counselor · London, KY
NPI number
1376135590
Active
Practice location
2645 N Laurel Rd Ste A
London, KY 40741-9075
Fax (866) 460-2997
Mailing address
615 Elsinore Pl
Cincinnati, OH 45202-1459
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 175102 (KY) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
3 other providers at this address
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About NPI 1376135590
Shanda Lynn Tallant's National Provider Identifier is 1376135590, issued on Feb 9, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in London, KY. The record was last updated on Aug 30, 2022.