Tiedt, Nicole

Tiedt, Nicole is an individual health care provider with primary practice located at 41593 Winchester Rd Ste 200 , Temecula CA 92590-4857. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Tiedt, Nicole can be contacted via phone (951) 254-7032.

Contact Information

Primary practice address
41593 Winchester Rd Ste 200 Temecula CA 92590-4857
Phone: (951) 254-7032
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPCC8962 California
Behavioral Health & Social Service Providers / Professional 101YP2500X LPCC8962 California

Profile Details

NPI number 1346768405
LBN Legal business name Tiedt, Nicole
Credentials LPCC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2017
Last updated Apr 21st, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346768405 NPPES
California Other LPCC8962 BOARD OF BEHAVIORAL SCIENCES

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