Contact
Contact Michael Tierno
The best first step is a free 20-minute conversation: no obligation, just a chance to talk, ask questions, and see if this feels like the right fit.
- Location
- San Rafael, Marin County. Sessions take place in a private office; the address is shared once we’ve scheduled. Clients come from across the Bay Area.
- michael@michaeltiernoguide.com
- Phone
- (415) 200-8711
Please text first. - In a crisis
- This isn’t crisis care. If you’re in crisis, call or text 988.