Individual provider · Type 1 NPI
Diana Tidwell
Addiction (Substance Use Disorder) Counselor · Galt, CA
NPI number
1750746335
Active
Practice location
931 Ranch Rd
Galt, CA 95632-8341
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1750746335
Diana Tidwell's National Provider Identifier is 1750746335, issued on Dec 23, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Galt, CA. The record was last updated on Dec 23, 2015.