Tierney Persico, CT
Counselor in Columbus, OH. Individual provider (NPI-1).
NPI number1164081394
StatusActive
Last updated in NPPESJun 11, 2019
Details
- NPI
- 1164081394
- Entity type
- Individual (NPI-1)
- Name
- Tierney Persico
- Credential
- CT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 11, 2019
- Last updated
- Jun 11, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | C1901657 | – | Yes |
Practice location
195 N Grant AveColumbus, OH 43215-2855
Phone 440-260-8300
Mailing address
434 Eastland RdBerea, OH 44017-1217
Phone 440-234-2006
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