LESLIE ETHAN TALLEY

PICKENS, SC
NPI1912657016
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NC  A21227)
Enumeration Date2022-03-24
Last Update Date2026-01-09
Business Address
LESLIE ETHAN TALLEY
309 E MAIN ST
PICKENS, SC 29671-2319
Phone number: 864-898-5800
Mailing Address
LESLIE ETHAN TALLEY
309 E MAIN ST
PICKENS, SC 29671-2319
Phone number: 864-898-5800