Organization
NICOLE TIERNEY, LMFT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NICOLE TIERNEY LMFT (OWNER/MEMBER)
(860) 478-1801
Entity
Organization
Contact information
Practice address
1177 SILAS DEANE HWY, WETHERSFIELD, CT 06109-4348
(860) 478-1801
Mailing address
1177 SILAS DEANE HWY, WETHERSFIELD, CT 06109-4348
(860) 478-1801
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
11/15/2020
Last updated
11/15/2020
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