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Stephanie C Tidholm, SUDPT
Counselor in Seattle, Washington
NPI 1710630082

Stephanie C Tidholm is a Counselor based in Seattle, WA. Stephanie C Tidholm practices in Seattle, WA and has the professional credentials of SUDPT. The NPI Number for Stephanie C Tidholm is 1710630082 and holds a License No. 101YA0400X (Washington).

The current practice location address for Stephanie C Tidholm is 2133 3Rd Ave, Seattle, WA and can be reached out via phone at 206-223-1482.

Location: 2133 3Rd Ave, Seattle, WA, 98121-2385
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710630082
Provider Name
Stephanie C Tidholm
Credential
SUDPT
Provider Entity Type
Individual
Gender
Female
Address
2133 3Rd Ave, Seattle, WA, 98121-2385
Phone Number
206-223-1482
Fax Number
Provider Enumeration Date
01/27/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2133 3Rd Ave
City
Seattle
State
Washington
Zip
98121-2385
Phone Number
206-223-1482
Fax Number
person
Provider Business Mailing Address Details
Address
2133 3Rd Ave
City
Seattle
State
Washington
Zip
98121-2385
Phone Number
206-223-1482
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
(Washington)
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
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
101YA0400X (Washington)
Definition
Definition to come...
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