ANGELA DAWN TIERNO BLACKTHORNE

EUREKA, CA
NPI1215537998
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2020-10-30
Last Update Date2020-10-30
Business Address
Ms. ANGELA DAWN TIERNO BLACKTHORNE
720 WOOD ST
EUREKA, CA 95501-4413
Phone number: 707-268-2990
Mailing Address
Ms. ANGELA DAWN TIERNO BLACKTHORNE
720 WOOD ST
EUREKA, CA 95501-4413
Phone number: 707-268-2990