NPI 1003250754

Carol Tidwell, MSLCPC

Practitioner Mental Health Counselor Eagle, ID

Practice location

Address: 225 S Linder Rd APT A308, Eagle, ID 83616-4421
Phone: (208) 546-1808

Registered specialties

Mental Health Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence LCPC-5223 (ID)

Other Counselor providers in Idaho →

Registry record

NPI: 1003250754
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Apr 2013
Record last updated: 5 Jun 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.