Individual provider · Type 1 NPI
Carol Tidwell, MS. LCPC
Mental Health Counselor · Eagle, ID
NPI number
1003250754
Active
Practice location
225 S Linder Rd Apt A308
Eagle, ID 83616-4421
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | LCPC-5223 (ID) |
Mental Health Counselor: Definition to come...
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About NPI 1003250754
Carol Tidwell, MS. LCPC's National Provider Identifier is 1003250754, issued on Apr 24, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Eagle, ID. The record was last updated on Jun 5, 2023.