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MRS. TERESA ELAINE TIDWELL MA, CDPT
NPI 1770825697
Counselor - Addiction (Substance Use Disorder) in Vancouver, WA

Active since March 18, 2013
1601 E 4TH PLAIN BLVD, BLDG 17 STE B222, VANCOUVER, WA 98661(360) 397-8484(360) 397-8494 Get Directions Write a Review

NPPES record last updated: March 18, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Teresa Elaine Tidwell Ma, Cdpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. TERESA ELAINE TIDWELL MA, CDPT (NPI 1770825697) is an individual addiction (substance use disorder) provider in Vancouver, Washington and active in the NPI registry since March 2013.

NPPES Registry Identity

NPI1770825697
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMRS. TERESA ELAINE TIDWELLCredential: MA, CDPT
Location Address1601 E 4TH PLAIN BLVD, BLDG 17 STE B222Vancouver, WA 98661-3753
Mailing AddressPo Box 1845Vancouver, WA 98668-1845 · (360) 397-8484 · Fax (360) 397-8494
Phone(360) 397-8484
Fax(360) 397-8494
Sole ProprietorNo
Enumeration DateMarch 18, 2013
✔ NPI 1770825697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
1601 E 4TH PLAIN BLVD, Vancouver, WA 98661
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LETICIA CUEVAS
Counselor (Addiction (Substance Use Disorder))
1601 E 4TH PLAIN BLVD
VANCOUVER, WA 98661
Clark County (360) 397-8246
CHARLENE PEDERSON CG
Counselor
1601 E 4TH PLAIN BLVD
VANCOUVER, WA 98661
Clark County (360) 397-8246
ESMERALDA XOCHITL GARCIA SUDP
Counselor (Addiction (Substance Use Disorder))
1601 E 4TH PLAIN BLVD, BUILDING #17
VANCOUVER, WA 98661
Clark County (360) 397-8246
MS. HAILEY ANNE LESLIE
Counselor (Mental Health)
1601 E 4TH PLAIN BLVD, BLDG 17 STE B222
VANCOUVER, WA 98661
Clark County (360) 397-8484
MR. TREVOR C MILLER CTRS
Recreation Therapist
1601 E 4TH PLAIN BLVD
VANCOUVER, WA 98661
Clark County (360) 696-4061
DR. SUZANNE BEVERLEE MILLAR PHARM.D.
Pharmacist (Pharmacotherapy)
1601 E 4TH PLAIN BLVD
VANCOUVER, WA 98661
Clark County (503) 220-8262
MRS. COURTNEY RENAE RARDIN BA
Counselor (Mental Health)
1601 E 4TH PLAIN BLVD, BLDG 17 STE B222
VANCOUVER, WA 98661
Clark County (360) 397-8484
MRS. BARBARA JEAN COLLERAN RN
Registered Nurse (Psychiatric/Mental Health, Adult)
1601 E 4TH PLAIN BLVD, BLDG 17 STE B222
VANCOUVER, WA 98661
Clark County (360) 397-8484

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Teresa Tidwell's NPI number?

The NPI number for Teresa Tidwell is 1770825697. It was assigned to this individual provider in the NPPES registry on March 18, 2013.

Where is Teresa Tidwell located?

Teresa Tidwell practices at 1601 E 4th Plain Blvd Bldg 17 Ste B222, Vancouver, WA 98661. The listed phone number is (360) 397-8484.

What is Teresa Tidwell's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Teresa Tidwell was last updated on March 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.