person
Diana Tidwell
Addiction (Substance Use Disorder) Counselor in Galt, California
NPI 1750746335

Diana Tidwell is an Addiction (Substance Use Disorder) Counselor based in Galt, CA and is specialized in Addiction (Substance Use Disorder). Diana Tidwell practices in Galt, CA. The NPI Number for Diana Tidwell is 1750746335 and holds a License No. (California).

The current practice location address for Diana Tidwell is 931 Ranch Rd, Galt, CA and can be reached out via phone at 209-271-3968.

Location: 931 Ranch Rd, Galt, CA, 95632-8341
person
Provider Profile Details
NPI Number
1750746335
Provider Name
Diana Tidwell
Credential
Provider Entity Type
Individual
Gender
Female
Address
931 Ranch Rd, Galt, CA, 95632-8341
Phone Number
209-271-3968
Fax Number
Provider Enumeration Date
12/23/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
931 Ranch Rd
City
State
Zip
95632-8341
Phone Number
209-271-3968
Fax Number
person
Provider Business Mailing Address Details
Address
931 Ranch Rd
City
State
Zip
95632-8341
Phone Number
209-271-3968
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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