Provider Demographics
NPI:1710628441
Name:CIERNIA, ALLISON M (BS LADC)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:M
Last Name:CIERNIA
Suffix:
Gender:F
Credentials:BS LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1420 W SAINT GERMAIN ST STE 104105
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:MN
Mailing Address - Zip Code:56301-4156
Mailing Address - Country:US
Mailing Address - Phone:320-314-1200
Mailing Address - Fax:320-314-1497
Practice Address - Street 1:1420 W SAINT GERMAIN ST STE 104105
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:MN
Practice Address - Zip Code:56301-4156
Practice Address - Country:US
Practice Address - Phone:320-314-1200
Practice Address - Fax:320-314-1497
Is Sole Proprietor?:No
Enumeration Date:2022-04-05
Last Update Date:2022-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN305682101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)