Individual provider · Type 1 NPI
Mary C. Tidwell, LPC
Mental Health Counselor · Tulsa, OK
NPI number
1407473234
Active
Practice location
401 S Boston Ave Ste 500-5
Tulsa, OK 74103-4016
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Mental Health Counselor Primary | 101YM0800X | 10926 (OK) |
Mental Health Counselor: Definition to come...
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About NPI 1407473234
Mary C. Tidwell, LPC's National Provider Identifier is 1407473234, issued on Jun 27, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tulsa, OK. The record was last updated on Feb 16, 2023.