PATRICK R TIDWELL

MONTGOMERY, AL
NPI1316450976
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AL  251S00000X)
Enumeration Date2017-11-06
Last Update Date2017-11-06
Business Address
PATRICK R TIDWELL Ph.D, LMFT
1425 I-65 PARKWAY
MONTGOMERY, AL 36106-2860
Phone number: 404-989-2867
Mailing Address
PATRICK R TIDWELL Ph.D, LMFT
3884 BERKSHIRE DR
MONTGOMERY, AL 36109-1641
Phone number: 334-787-0601
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