Provider Demographics
NPI:1437470580
Name:JO ANN G TALER, MA, LPC, PLLC
Entity Type:Organization
Organization Name:JO ANN G TALER, MA, LPC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:JO ANN
Authorized Official - Middle Name:G
Authorized Official - Last Name:TALER
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC, PLLC
Authorized Official - Phone:832-715-8601
Mailing Address - Street 1:2038 S SHORE BLVD
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:TX
Mailing Address - Zip Code:77356-4807
Mailing Address - Country:US
Mailing Address - Phone:832-715-8601
Mailing Address - Fax:
Practice Address - Street 1:3307 W DAVIS ST
Practice Address - Street 2:STE C
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77304-1861
Practice Address - Country:US
Practice Address - Phone:832-715-8601
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-11
Last Update Date:2010-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX62232101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty