Individual
ANDREW WILLIAM TIERNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
622 DAVIS ST, STE. 200, EVANSTON, IL 60201-4491
(773) 294-0176
Mailing address
622 DAVIS ST # 200, EVANSTON, IL 60201-4491
(107) 677-3294
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.015461
IL
Other
Enumeration date
10/23/2020
Last updated
10/23/2020
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