Individual
NICOLE TIEDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
41593 WINCHESTER RD STE 200, TEMECULA, CA 92590-4857
(951) 254-7032
Mailing address
41593 WINCHESTER RD STE 200, TEMECULA, CA 92590-4857
(951) 254-7032
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPCC8962
CA
101YP2500X
Professional Counselor
Primary
LPCC8962
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPCC8962
BOARD OF BEHAVIORAL SCIENCES
CA
Enumeration date
09/08/2017
Last updated
04/21/2021
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