person
Ms. Carol Tidwell, MSLCPC
Mental Health Counselor in Eagle, Idaho
NPI 1003250754

Carol Tidwell is a Mental Health Counselor based in Eagle, ID and is specialized in Mental Health. Carol Tidwell practices in Eagle, ID and has the professional credentials of MSLCPC. The NPI Number for Carol Tidwell is 1003250754 and holds a License No. LCPC-5223 (Idaho).

The current practice location address for Carol Tidwell is 225 S Linder Rd Apt A308, Eagle, ID and can be reached out via phone at 208-546-1808.

Location: 225 S Linder Rd Apt A308, Eagle, ID, 83616-4421
person
Provider Profile Details
NPI Number
1003250754
Provider Name
Carol Tidwell
Credential
MSLCPC
Provider Entity Type
Individual
Gender
Female
Address
225 S Linder Rd Apt A308, Eagle, ID, 83616-4421
Phone Number
208-546-1808
Fax Number
Provider Enumeration Date
04/24/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
225 S Linder Rd Apt A308
City
State
Zip
83616-4421
Phone Number
208-546-1808
Fax Number
person
Provider Business Mailing Address Details
Address
225 S Linder Rd Apt A308
City
State
Zip
83616-4421
Phone Number
208-546-1808
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LCPC-5223 (Idaho)
Definition
Definition to come...
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