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Nicole Tiedt, Licensed Professional Clinical Counselor, P.c.
Community/Behavioral Health Agency in Temecula, California
NPI 1639750540

Nicole Tiedt, Licensed Professional Clinical Counselor, P.c. is a Community/Behavioral Health Agency based in Temecula, CA. Nicole Tiedt, Licensed Professional Clinical Counselor, P.c. practices in Temecula, CA. The NPI Number for Nicole Tiedt, Licensed Professional Clinical Counselor, P.c. is 1639750540 and holds a License No. (California).

The current practice location address for Nicole Tiedt, Licensed Professional Clinical Counselor, P.c. is 41593 Winchester Rd Ste 200, Temecula, CA and can be reached out via phone at 951-254-7032.

Location: 41593 Winchester Rd Ste 200, Temecula, CA, 92590-4857
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1639750540
Provider Name
Nicole Tiedt, Licensed Professional Clinical Counselor, P.c.
Credential
Provider Entity Type
Organization
Address
41593 Winchester Rd Ste 200, Temecula, CA, 92590-4857
Phone Number
951-254-7032
Fax Number
Provider Enumeration Date
04/21/2021
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
41593 Winchester Rd Ste 200
City
Temecula
State
California
Zip
92590-4857
Phone Number
951-254-7032
Fax Number
person
Provider Business Mailing Address Details
Address
41593 Winchester Rd Ste 200
City
Temecula
State
California
Zip
92590-4857
Phone Number
951-254-7032
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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