SearchCalifornia101YP2500X

Michael Tidstrand, BA, MA, LPCC

NPI 1548890544 · on the registry since 2020

Practice

Address
20112 Runnymede St Unit 5
Winnetka, CA 91306
Phone
(818) 216-0321

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-05-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California