MR. Michael A Tisdale, CP00003857
NPI #1831414796 in Elma, Washington
Provider Information
- NPI Number
- 1831414796
- Entity Type
- Individual
- Name
- MR. Michael A Tisdale, CP00003857
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- CP00003857
- Enumeration Date
- Apr 5, 2010
- Last Updated
- Apr 5, 2010
Practice Location
- Address
- 308 E. YOUNG ST.
- City
- Elma
- State
- Washington
- ZIP Code
- 98541
- Phone
- (360) 482-2674
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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