KRISTI TIDWELL

Counselor

Active Individual
NPI: 1609864529

Practice Address

1300 E BRADFORD PKWY
BURRELL BEHAVIORAL HEALTH
Springfield, MO 65804

Phone: (417) 269-5400

Specialties

Specialty Code Primary License
Counselor 101Y00000X Yes -

Frequently Asked Questions

NPI 1609864529 is the National Provider Identifier for KRISTI TIDWELL, a Counselor provider located in Springfield, MO. This NPI was enumerated on October 13, 2005.
KRISTI TIDWELL practices at 1300 E BRADFORD PKWY, BURRELL BEHAVIORAL HEALTH, Springfield, MO 65804.

Quick Facts

NPI
1609864529
Type
Individual
Enumerated
Oct 13, 2005
Last Updated
Jul 8, 2007

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