Individual
TIERRA HOLLAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., LMFT
Contact information
Practice address
645 10TH AVE, NEW YORK, NY 10036-2904
(212) 484-5848
Mailing address
645 10TH AVE, NEW YORK, NY 10036-2904
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
002126
NY
Other
Enumeration date
03/18/2016
Last updated
05/20/2024
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