Individual
MARY M TIDYMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLMHP, LADC
Contact information
Practice address
110 N BAILEY, NORTH PLATTE, NE 69101
(308) 534-6029
(308) 534-6961
Mailing address
110 N BAILEY, P.O. BOX 1208, NORTH PLATTE, NE 69103-1208
(308) 534-6029
(308) 534-6961
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1280
NE
101YM0800X
Mental Health Counselor
Primary
14180
NE
Other
Enumeration date
11/04/2010
Last updated
03/18/2025
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