Mr. Stewart Gregory Tidwell, MA, LMHC
Mr. Stewart Gregory Tidwell, MA, LMHC is a Mental Health Counselor in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2009.
- Licensed in
- IN
- In the registry since
- 2009
What do these letters mean?
Practice location Address checks out
2525 Lake AveFort Wayne, IN 46805-5407
Phone: (260) 484-4153
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence 39001806A (IN) |
|---|
Record details
| NPI number | 1992935142 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MA , LMHC |
| Sole proprietor | No |
| NPI enumerated | July 22, 2009 |
| Last updated in NPPES | July 22, 2009 |
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