Individual provider · Type 1 NPI

Heather Tidrick, ASW

Counselor · Sebastopol, CA

NPI number 1053867739 Active

Practice location

1800 Gravenstein Hwy N
Sebastopol, CA 95472-2607

Call (707) 823-7300 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

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 1053867739

Heather Tidrick, ASW's National Provider Identifier is 1053867739, issued on Aug 31, 2016. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Sebastopol, CA. The record was last updated on Feb 24, 2017.