JONATHAN TALLAR

WEST ALLIS, WI
NPI1093433146
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  19776-130)
Enumeration Date2022-08-16
Last Update Date2022-08-16
Business Address
JONATHAN TALLAR
2814 S 108TH ST
WEST ALLIS, WI 53227-3224
Phone number: 414-885-3525
Mailing Address
JONATHAN TALLAR
8444 N 90TH ST STE 100
SCOTTSDALE, AZ 85258-4437
Phone number: 602-248-8886
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