ARMONTE DESHAWEN TIDWELL

WOODLAND HILLS, CA
NPI1427755610
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  19119)
Enumeration Date2023-02-08
Last Update Date2026-01-20
Business Address
ARMONTE DESHAWEN TIDWELL
21600 OXNARD ST STE 200
WOODLAND HILLS, CA 91367-4971
Phone number: 877-207-1009
Mailing Address
ARMONTE DESHAWEN TIDWELL
21600 OXNARD ST STE 200
WOODLAND HILLS, CA 91367-4971
Phone number: 818-826-1033