JEFF THOMAL TIDD

PORTLAND, ME
NPI1689793226
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: ME  CC1912)
Enumeration Date2007-03-28
Last Update Date2011-11-16
Business Address
Mr. JEFF THOMAL TIDD LCPC
86 DARTMOUTH ST
PORTLAND, ME 04103-4808
Phone number: 207-321-8828
Mailing Address
Mr. JEFF THOMAL TIDD LCPC
304 SUMMIT ST
PORTLAND, ME 04103-2239
Phone number: 207-321-8828