Individual
ANGELA KAY TIERNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3 LA QUINTA ST, WIMBERLEY, TX 78676-3608
(512) 847-1321
Mailing address
3 LA QUINTA ST, WIMBERLEY, TX 78676-3608
(512) 393-4691
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
62795
TX
101YP2500X
Professional Counselor
Primary
62795
TX
Other
Enumeration date
03/09/2009
Last updated
04/01/2019
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