Individual
LAUREN ELIZABETH TILDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
907 MAR WALT DR STE 2021, FORT WALTON BEACH, FL 32547-6756
(850) 462-4386
Mailing address
907 MAR WALT DR STE 2021, FORT WALTON BEACH, FL 32547-6756
(850) 462-4386
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
02475-I
NV
106H00000X
Marriage & Family Therapist
Primary
IMT3322
FL
Other
Enumeration date
04/22/2019
Last updated
08/02/2022
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