Jack Paul Tally
Jack Paul Tally is an Addiction (Substance Use Disorder) Counselor in San Diego, California. Licensed in California. Registered with an NPI since 2018.
- Licensed in
- CA
- In the registry since
- 2018
Practice location Address checks out
1530 Dale StSan Diego, CA 92102-1519
Phone: (619) 915-5710
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence A052360521 (CA) |
|---|
Record details
| NPI number | 1790256527 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | December 5, 2018 |
| Last updated in NPPES | March 26, 2026 |
| Certification date | March 26, 2026 |
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