Individual provider · Type 1 NPI
Connie Tidwell, CMHC
Mental Health Counselor · Ogden, UT
NPI number
1780055822
Active
Practice location
237 26th St
Ogden, UT 84401-3105
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 379744-6004 (UT) |
Mental Health Counselor: Definition to come...
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- Melissa K. Proctor, MHPMental Health Counselor Ogden, UT NPI 1053664979
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About NPI 1780055822
Connie Tidwell, CMHC's National Provider Identifier is 1780055822, issued on Oct 15, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Ogden, UT. The record was last updated on Oct 15, 2015.