Individual provider · Type 1 NPI

Ashley B. Tidwell

Mental Health Counselor · Clackamas, OR

NPI number 1083209118 Active

Practice location

14344 SE Bridgeton St
Clackamas, OR 97015-6265

Call (503) 806-6966 Map

Mailing address

PO Box 2586
Clackamas, OR 97015-2586

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1083209118

Ashley B. Tidwell's National Provider Identifier is 1083209118, issued on Mar 1, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Clackamas, OR. The record was last updated on Mar 1, 2021.