Individual
ADESOLA CHAMIAN TIERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
4701 SAMUELL BLVD, DALLAS, TX 75228-6828
(972) 861-5611
Mailing address
2407 VENTURA DR APT B, ARLINGTON, TX 76015-1073
(817) 210-2301
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13728
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5088044103
—
TX
Enumeration date
04/01/2022
Last updated
05/20/2025
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