Carol Tidwell, MS. LCPC Valid NPI

Individual provider · Mental Health Counselor · Eagle, ID

NPI

1003250754

Type

Individual (Type 1)

Primary specialty

Mental Health Counselor (Counselor)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

101YM0800X

License number

LCPC-5223 (ID)

Sex

Female

Sole proprietor

Yes

Enumerated

2013-04-24

Last updated

2023-06-05