Michael Tidstrand, BA, MA, LPCC
NPI #1548890544 in Winnetka, California
Provider Information
- NPI Number
- 1548890544
- Entity Type
- Individual
- Name
- Michael Tidstrand, BA, MA, LPCC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- BA, MA, LPCC
- Enumeration Date
- Jan 19, 2020
- Last Updated
- May 19, 2020
Practice Location
- Address
- 20112 RUNNYMEDE ST UNIT 5
- City
- Winnetka
- State
- California
- ZIP Code
- 91306-2901
- Phone
- (818) 216-0321
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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