Individual provider · Type 1 NPI

Kathleen Stidd, MA CMFC, MAT

Counselor · Tigard, OR

NPI number 1043768500 Active

Practice location

11845 SW Greenburg Rd, Suite 200
Tigard, OR 97223-6464

Call (503) 719-3878 Map

Mailing address

11845 SW Greenburg Rd Ste 210
Tigard, OR 97223-6464

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XC6419 (OR)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1043768500

Kathleen Stidd, MA CMFC, MAT's National Provider Identifier is 1043768500, issued on Sep 13, 2016. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Tigard, OR. The record was last updated on Apr 21, 2023.