Jenise Elaine Tidd, LICDC-CS is an addiction (substance use disorder) counselor in Dayton, OH. Jenise Elaine Tidd, LICDC-CS NPI is 1447765821. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
865 S PATTERSON BLVD
DAYTON, OH
ZIP 45402-624
Phone: (937) 966-4673
The NPI 1447765821 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Power Mobility Devices.
The enumeration date for this NPI number is 12/7/2017 and was last updated on 2/16/2024.