THEODORE MCTIERNAN

LOUISVILLE, KY
NPI1609492644
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KY  246100)
Enumeration Date2020-06-24
Last Update Date2020-06-24
Business Address
THEODORE MCTIERNAN
4010 DUPONT CIR STE 226
LOUISVILLE, KY 40207-4847
Phone number: 502-896-8006
Mailing Address
THEODORE MCTIERNAN
4010 DUPONT CIR STE 226
LOUISVILLE, KY 40207-4847
Phone number: 502-896-8006
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