Individual
VIRGINIA TIERNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
199 WELFARE AVE, WARWICK, RI 02888-2326
(401) 338-6001
Mailing address
199 WELFARE AVE, WARWICK, RI 02888-2326
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/10/2023
Last updated
03/10/2023
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