Individual
CINDY TIDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
302 N JACKSON ST, STARKVILLE, MS 39759-2504
(662) 323-9261
(662) 323-9380
Mailing address
223 COURT ST, WEST POINT, MS 39773
(662) 494-8586
(662) 494-8615
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1033
MS
Other
Enumeration date
10/20/2006
Last updated
07/08/2007
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