Tally, Jack

Tally, Jack is an individual health care provider with primary practice located at 1836 Fremont St , Ashland OR 97520-2537. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Tally, Jack can be contacted via phone (541) 482-5792.

Contact Information

Primary practice address
1836 Fremont St Ashland OR 97520-2537
Phone: (541) 482-5792
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1891170882
LBN Legal business name Tally, Jack
Credentials B.A., QMHA
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2015
Last updated Jul 20th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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