Jack Paul Tally - Aberdeen, WA

Jack Paul Tally

Counselor in Aberdeen, Washington

NPI 1790256527

Jack Paul Tally is a Counselor based in Longview, WA. Jack Paul Tally practices in Aberdeen, WA. The NPI Number for Jack Paul Tally is 1790256527 and holds a License No. CG61411928 (Washington).

The current practice location address for Jack Paul Tally is 2700 Simpson Ave, Aberdeen, WA and can be reached out via phone at 360-612-0012 and via fax at 360-577-0187.

Location: 2700 Simpson Ave, Aberdeen, WA, 98632

NPI Number

1790256527

Provider Name

Jack Paul Tally

Credential

Provider Entity Type

Individual

Gender

Male

Address

2700 Simpson Ave, Aberdeen, WA, 98632

Phone Number

360-612-0012

Fax Number

360-577-0187

Provider Enumeration Date

12/05/2018

Last Update Date

03/10/2024

Address

2700 Simpson Ave

City

Aberdeen

State

Washington

Zip

98520

Phone Number

360-612-0012

Fax Number

360-577-0187

Address

2700 Simpson Ave

City

Aberdeen

State

Washington

Zip

98520

Phone Number

360-612-0012

Fax Number

360-577-0187

Type

Behavioral Health & Social Service Providers

Classification

Counselor

Speciality

Taxonomy

101Y00000X

License No.

CG61411928 (Washington)

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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