MARY K KIDD LPC - NPI 1619093234 - Counselor in Wheat Ridge, CO

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YP2500X and a focus in Professional.

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About Mary K Kidd Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY K KIDD LPC (NPI 1619093234) is an individual professional provider in Wheat Ridge, Colorado, licensed in Colorado (1427) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1619093234

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMARY K KIDDCredential: LPC

Location Address4851 INDEPENDENCE ST STE 270Wheat Ridge, CO 80033-6712

Mailing Address33025 Timber Ridge RdEvergreen, CO 80439-6617 · (303) 679-1187

Phone(303) 467-5767

Sole ProprietorNo

Enumeration DateMarch 22, 2007

Last NPPES UpdateOctober 31, 2007

✔ NPI 1619093234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in CO · 1427

4851 INDEPENDENCE ST STE 270, Wheat Ridge, CO 80033

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Other Identifiers 2

Medicare PINC15920CO

Other015920Kaiser-commercial Number

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BANEE M ROCK

Registered Nurse (Psychiatric/Mental Health)