Individual
MS. AMY ANNE TIERNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT, MED, LPC
Contact information
Practice address
3139 N LINCOLN AVE, SUITE 226, CHICAGO, IL 60657-3114
(773) 402-9620
Mailing address
6751 N LONGMEADOW AVE, LINCOLNWOOD, IL 60712-3209
(773) 402-9620
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
166000860
IL
Other
Enumeration date
01/18/2012
Last updated
01/18/2012
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