Michael Tidstrand's National Provider Identifier (NPI) Details
Michael Tidstrand, BA, MA, LPCC
NPI: 1548890544
Enumeration Date: 2020-01-19
Last updated: 2020-05-19
Sole Proprietor: NO
Status: active
Postal Address: 20112 RUNNYMEDE ST UNIT 5, WINNETKA, CA
Phone: 818-216-0321
Primary Practice Address: 20112 RUNNYMEDE ST UNIT 5, WINNETKA, CA
Practice's phone: 818-216-0321