person
Jonathan Tallar
Addiction (Substance Use Disorder) Counselor in West Allis, Wisconsin
NPI 1093433146

Jonathan Tallar is an Addiction (Substance Use Disorder) Counselor based in Scottsdale, WI and is specialized in Addiction (Substance Use Disorder). Jonathan Tallar practices in West Allis, WI. The NPI Number for Jonathan Tallar is 1093433146 and holds a License No. 19776-130 (Wisconsin).

The current practice location address for Jonathan Tallar is 2814 S 108Th St, West Allis, WI and can be reached out via phone at 414-885-3525 and via fax at 262-643-4617.

Location: 2814 S 108Th St, West Allis, WI, 85258-4437
person
Provider Profile Details
NPI Number
1093433146
Provider Name
Jonathan Tallar
Credential
Provider Entity Type
Individual
Gender
Male
Address
2814 S 108Th St, West Allis, WI, 85258-4437
Phone Number
414-885-3525
Fax Number
262-643-4617
Provider Enumeration Date
08/16/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2814 S 108Th St
City
State
Zip
53227-3224
Phone Number
414-885-3525
Fax Number
262-643-4617
person
Provider Business Mailing Address Details
Address
2814 S 108Th St
City
State
Zip
53227-3224
Phone Number
414-885-3525
Fax Number
262-643-4617
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
19776-130 (Wisconsin)
Definition
Definition to come...
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