person
Jenise Elaine Tidd, LICDC-CS
Addiction (Substance Use Disorder) Counselor in Dayton, Ohio
NPI 1447765821

Jenise Elaine Tidd is an Addiction (Substance Use Disorder) Counselor based in Cincinnati, OH and is specialized in Addiction (Substance Use Disorder). Jenise Elaine Tidd practices in Dayton, OH and has the professional credentials of LICDC-CS. The NPI Number for Jenise Elaine Tidd is 1447765821 and holds a License No. 161533 (Ohio).

The current practice location address for Jenise Elaine Tidd is 865 S Patterson Blvd, Dayton, OH and can be reached out via phone at 937-966-4673.

Location: 865 S Patterson Blvd, Dayton, OH, 45241-5427
person
Provider Profile Details
NPI Number
1447765821
Provider Name
Jenise Elaine Tidd
Credential
LICDC-CS
Provider Entity Type
Individual
Gender
Female
Address
865 S Patterson Blvd, Dayton, OH, 45241-5427
Phone Number
937-966-4673
Fax Number
Provider Enumeration Date
12/07/2017
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
865 S Patterson Blvd
City
State
Zip
45402-2624
Phone Number
937-966-4673
Fax Number
person
Provider Business Mailing Address Details
Address
865 S Patterson Blvd
City
State
Zip
45402-2624
Phone Number
937-966-4673
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
161533 (Ohio)
Definition
Definition to come...
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