Provider Demographics
NPI:1447648498
Name:TIERNEY, STEVEN (LPCC)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:
Last Name:TIERNEY
Suffix:
Gender:M
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:398 W PORTAL AVE
Mailing Address - Street 2:APT 504
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94127-1424
Mailing Address - Country:US
Mailing Address - Phone:415-742-0215
Mailing Address - Fax:415-575-1264
Practice Address - Street 1:398 W PORTAL AVE
Practice Address - Street 2:APT 504
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94127-1424
Practice Address - Country:US
Practice Address - Phone:415-742-0215
Practice Address - Fax:415-575-1264
Is Sole Proprietor?:No
Enumeration Date:2014-12-29
Last Update Date:2014-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALPCC 493101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional