KHALIA TIDWELL

Addiction (Substance Use Disorder) Counselor

NPI: 1326874017Individual

Specialties, Licenses & Credentials

Mental Health Counselor

Counselor — Mental Health

Code: 101YM0800X

Addiction (Substance Use Disorder) CounselorPrimary

Counselor — Addiction (Substance Use Disorder)

Code: 101YA0400X

Contact & Hours

Address: 6923 N FESSENDEN ST APT E
PORTLAND, OR 97203
Phone: (971) 258-5803

Location

Practice Location

6923 N FESSENDEN ST APT E, PORTLAND, OR

Quick Facts

NPI: 1326874017
Entity Type: Individual
Gender: Female
Medicare: Not confirmed
Specialties: 2
Locations: 1

Are you this provider?

Claim Your Profile