MR. Shelby O Tidwell, BA, PSRS

NPI #1255658944 in Ada, Oklahoma

Provider Information

NPI Number
1255658944
Entity Type
Individual
Name
MR. Shelby O Tidwell, BA, PSRS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Mental Health
Credential
BA, PSRS
Enumeration Date
Apr 21, 2010
Last Updated
Apr 21, 2010

Practice Location

Address
1201 ARLINGTON ST STE G
City
Ada
ZIP Code
74820-4072
Phone
(580) 332-6851

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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