MS. Jane Kidwell, LCPC
NPI #1033218086 in Carbondale, Illinois
Provider Information
- NPI Number
- 1033218086
- Entity Type
- Individual
- Name
- MS. Jane Kidwell, LCPC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- LCPC
- Enumeration Date
- Sep 22, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 35 ALBANY RD
- Address 2
- SUITE E
- City
- Carbondale
- State
- Illinois
- ZIP Code
- 62903-7605
- Phone
- (618) 241-2128
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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