Individual
NEIDE TICHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1700 IOWA AVE, SUITE 230, RIVERSIDE, CA 92507-2420
(951) 369-8604
(951) 715-4594
Mailing address
10940 FOOTE CT, RIVERSIDE, CA 92505-3012
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
02/01/2007
Last updated
07/08/2007
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