Cinnamon Tidwell

Individual provider Active NPI Mental Health Counselor · Del Norte, CO

NPI 1104564053 · NPPES record last updated May 20, 2022

Key facts

NPI
1104564053
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
3502 County Road 42.2
Del Norte, CO 81132-9131
Phone
(970) 485-4942
NPI assigned
May 20, 2022
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

3502 County Road 42.2
Del Norte, CO 81132-9131

Mailing address

3502 County Road 42.2
Del Norte, CO 81132-9131
Phone (970) 485-4942

Other names

  • Cinnamon Tidwell Professional name

Other providers in Del Norte, CO

All providers in Del Norte, CO · Mental Health Counselor in Colorado

Sources for this page

Verify at the official NPI Registry.