Jason Kidwell
NPI #1134646292 in Winchester, Virginia
Provider Information
- NPI Number
- 1134646292
- Entity Type
- Individual
- Name
- Jason Kidwell
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Aug 29, 2017
- Last Updated
- Aug 29, 2017
Practice Location
- Address
- 500 PEGASUS CT STE 500
- City
- Winchester
- State
- Virginia
- ZIP Code
- 22602-4596
- Phone
- (540) 313-4196
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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