Individual provider · Type 1 NPI
Schelandria Renee' Tallie, M.A. L.C.D.C
Addiction (Substance Use Disorder) Counselor · Dallas, TX
NPI number
1619648474
Active
Practice location
2120 Stovall Dr
Dallas, TX 75216-4539
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 12091 (TX) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1619648474
Schelandria Renee' Tallie, M.A. L.C.D.C's National Provider Identifier is 1619648474, issued on Sep 22, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Dallas, TX. The record was last updated on Sep 22, 2021.