Amanda Talley LPC

NPI 1780993154 - Counselor - 101YP2500X

NPI Details
NPI 1780993154
Gender Female
Enumeration Date 10/01/2010
Last Updated 10/01/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
1715 FM 1626 STE 103
MANCHACA TX, 78652-3549, US
Phone (512) 280-4425
Fax (512) 280-4656
Business Location
1715 FM 1626 STE 103
MANCHACA TX, 78652-3549, US
Phone
Fax
Toxanomy
Taxonomy Code 101YP2500X
License State Texas
License Number 64517
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According to our database, Ms. Amanda Talley LPC NPI is 1780993154, taxonomy code is 101YP2500X and license number is 64517, license state is located at Texas. Amanda Talley LPC physically located at 1715 Fm 1626 Ste 103, Manchaca TX, 78652-3549. NPI Number Amanda Talley LPC has the Individual type.

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1780993154 NPI number is provided on an as is basis without warranty of any kind. 1780993154 is maintained by the National Plan & Provider Enumeration System. The contents of Amanda Talley LPC are for informational purposes only.