Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jack Tally, BA, QMHA

Individual provider Mental Health Counselor · NPI 1891170882

Jack Tally, BA, QMHA is a Mental Health Counselor in Ashland, Oregon. Registered with an NPI since 2015.

In the registry since
2015
What do these letters mean?
BA — Bachelor of Arts
An undergraduate arts degree.

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Practice location Address checks out

1836 Fremont St
Ashland, OR 97520-2537
Phone: (541) 482-5792
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1891170882
Entity typeIndividual (Type 1)
GenderMale
Credentials BA , QMHA
Sole proprietorNo
NPI enumeratedJuly 20, 2015
Last updated in NPPESJuly 20, 2015

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