JACK TALLY

ASHLAND, OR
NPI1891170882
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2015-07-20
Last Update Date2015-07-20
Business Address
-- JACK TALLY B.A., QMHA
1836 FREMONT ST
ASHLAND, OR 97520-2537
Phone number: 541-482-5792
Mailing Address
-- JACK TALLY B.A., QMHA
1836 FREMONT ST
ASHLAND, OR 97520-2537
Phone number: 541-482-5792
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