| Diana Tidwell, | |
|
931 Ranch Rd, Galt, CA 95632-8341 | |
| (209) 271-3968 | |
| Not Available |
| Full Name | Diana Tidwell |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 931 Ranch Rd, Galt, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750746335 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Diana Tidwell, 931 Ranch Rd, Galt, CA 95632-8341 Ph: (209) 271-3968 | Diana Tidwell, 931 Ranch Rd, Galt, CA 95632-8341 Ph: (209) 271-3968 |
Matthew Raymond Ulm, Counselor Medicare: Not Enrolled in Medicare Practice Location: 750 Spaans Dr, Galt, CA 95632 Phone: 209-744-9909 | |
Ms. Elaine Mary Davidson, LVN Counselor Medicare: Not Enrolled in Medicare Practice Location: 143 Dawn Cir, Galt, CA 95632 Phone: 209-745-9044 | |
Vanessa Nicole Brown, RADT Counselor Medicare: Not Enrolled in Medicare Practice Location: 750 Spaans Dr Ste F, Galt, CA 95632 Phone: 209-744-9909 Fax: 209-744-9910 | |
Jazmin Palacios Peguero, PPS Counselor Medicare: Not Enrolled in Medicare Practice Location: 248 W A St, Galt, CA 95632 Phone: 209-745-2641 | |
Marina Serrano, Counselor Medicare: Not Enrolled in Medicare Practice Location: 750 Spaans Dr, Galt, CA 95632 Phone: 209-744-9909 | |
Solaiman Joshan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 750 Spaans Dr, Galt, CA 95632 Phone: 209-744-9909 | |
Cathrine Hillard, RADT Counselor Medicare: Not Enrolled in Medicare Practice Location: 750 Spaans Dr Ste F, Galt, CA 95632 Phone: 209-744-9909 Fax: 209-744-9910 |