NPI | 1538620646 |
---|---|
Professional Name | MICHAEL TYLER TALLMAN |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: WA SC61417058) |
Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG60954904) |
101YM0800X Counselor, Mental Health (Licence: WA CG60954904) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-03-29 |
Last Update Date | 2023-11-08 |