Khalia Tidwell
Khalia Tidwell is a Mental Health Counselor in Portland, Oregon. Registered with an NPI since 2024.
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Address checks out
6923 N Fessenden St Apt EPortland, OR 97203-1894
Phone: (971) 258-5803
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|---|
| Mental Health Counselor | Taxonomy 101YM0800X |
Record details
| NPI number | 1326874017 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 10, 2024 |
| Last updated in NPPES | September 23, 2024 |
| Certification date | September 23, 2024 |
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