| Doctor Name: | MRS. TAMMY NUNNALLY |
| NPI Number: | 1053789743 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S., L.P.C. |
| License Number: | 3620 |
| Business Practice Address: | 316 W Market St Counseling And Consulting, Inc Celina, OH - 458222125 |
| Business Phone Number: | 4195863900 |
| Business Fax Number: | 4195863338 |
| Mailing Address: | 316 W Market St, Counseling & Consulting Inc. CELINA |
| State: | OH |
| Postal Code: | 458222125 |
| Phone Number: | 4195863900 |
| Fax Number: | 4195863338 |
| NPI Enumeration Date: | 09/11/2015 |
| NPI Last Update Date: | 09/11/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 3620 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |