Individual provider · Type 1 NPI
Patrick R. Tidwell, PhD, LMFT
Addiction (Substance Use Disorder) Counselor · Montgomery, AL
NPI number
1316450976
Active
Practice location
1425 I-65 Parkway
Montgomery, AL 36106-2860
Mailing address
3884 Berkshire Dr
Montgomery, AL 36109-1641
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 251S00000X (AL) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1316450976
Patrick R. Tidwell, PhD, LMFT's National Provider Identifier is 1316450976, issued on Nov 6, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Montgomery, AL. The record was last updated on Nov 6, 2017.