Most Relevant Information
Provider Data
| NPI Number: | 1003355819 |
| Provider Name: | ANDREW JAMES TALLARICO |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/14/2017 |
| Last Updated: | 02/14/2017 |
Provider Practice Location
1400 CLEVELAND ST
GREENVILLE
SC
296072410
Practice Location Phone/Fax
| Phone: | 8644673790 |
| Fax: |
Provider Mailing Location
1400 CLEVELAND ST
GREENVILLE
SC
296072410
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |