Individual provider · Type 1 NPI

Shane Kidd

Mental Health Counselor · Atlanta, GA

NPI number 1013640903 Active

Practice location

1900 The Exchange SE Ste 100
Atlanta, GA 30339-2022

Call (404) 233-3949 Map

Mailing address

3511 Orchard St
Clarkston, GA 30021-1145

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1013640903

Shane Kidd's National Provider Identifier is 1013640903, issued on Jul 7, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Atlanta, GA. The record was last updated on Jul 7, 2022.