Provider Demographics
NPI:1356087167
Name:SALYER, TALIA (CDCA, AA)
Entity Type:Individual
Prefix:
First Name:TALIA
Middle Name:
Last Name:SALYER
Suffix:
Gender:F
Credentials:CDCA, AA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1221 DOLPHIN ST
Mailing Address - Street 2:
Mailing Address - City:CHILLICOTHE
Mailing Address - State:OH
Mailing Address - Zip Code:45601-1915
Mailing Address - Country:US
Mailing Address - Phone:740-438-8951
Mailing Address - Fax:740-721-4155
Practice Address - Street 1:382 ARCH ST
Practice Address - Street 2:
Practice Address - City:CHILLICOTHE
Practice Address - State:OH
Practice Address - Zip Code:45601-1518
Practice Address - Country:US
Practice Address - Phone:740-438-8951
Practice Address - Fax:740-721-4155
Is Sole Proprietor?:No
Enumeration Date:2022-05-05
Last Update Date:2022-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCDCA.178007101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)