Individual
DANIELLE LUCIO-TIERNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
109 FAIRFIELD WAY STE 205, BLOOMINGDALE, IL 60108-1500
(708) 807-1452
Mailing address
17 NORTON AVE, LEMONT, IL 60439-3944
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/27/2023
Last updated
11/27/2023
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