Kennedy R Kidrick
NPI #1093531402 in Chehalis, Washington
Provider Information
- NPI Number
- 1093531402
- Entity Type
- Individual
- Name
- Kennedy R Kidrick
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Dec 2, 2024
- Last Updated
- Dec 2, 2024
Practice Location
- Address
- 409 S MARKET BLVD # 11
- City
- Chehalis
- State
- Washington
- ZIP Code
- 98532-3043
- Phone
- (360) 360-2195
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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