Individual provider · Type 1 NPI

Theodore McTiernan

Addiction (Substance Use Disorder) Counselor · Louisville, KY

NPI number 1609492644 Active

Practice location

4010 Dupont Cir Ste 226
Louisville, KY 40207-4847

Call (502) 896-8006 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X246100 (KY)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1609492644

Theodore McTiernan's National Provider Identifier is 1609492644, issued on Jun 24, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Louisville, KY. The record was last updated on Jun 24, 2020.