Diana Tidwell
Diana Tidwell is an Addiction (Substance Use Disorder) Counselor in Galt, California. Practices as a sole proprietor. Registered with an NPI since 2015.
- In the registry since
- 2015
Practice location Address checks out
931 Ranch RdGalt, CA 95632-8341
Phone: (209) 271-3968
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1750746335 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | December 23, 2015 |
| Last updated in NPPES | December 23, 2015 |
| Mailing address | 931 Ranch Rd, Galt, CA 95632-8341 |
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