Provider Demographics
NPI:1649078932
Name:TWIDWELL, BRITNI RENE
Entity type:Individual
Prefix:
First Name:BRITNI
Middle Name:RENE
Last Name:TWIDWELL
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 S 2ND ST STE 101
Mailing Address - Street 2:
Mailing Address - City:SHELTON
Mailing Address - State:WA
Mailing Address - Zip Code:98584-3576
Mailing Address - Country:US
Mailing Address - Phone:360-462-7925
Mailing Address - Fax:
Practice Address - Street 1:113 S 2ND ST STE 101
Practice Address - Street 2:
Practice Address - City:SHELTON
Practice Address - State:WA
Practice Address - Zip Code:98584-3576
Practice Address - Country:US
Practice Address - Phone:360-462-7925
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-04
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)