Individual provider · Type 1 NPI

Kennedy R. Kidrick

Mental Health Counselor · Chehalis, WA

NPI number 1093531402 Active

Practice location

409 S Market Blvd # 11
Chehalis, WA 98532-3043

Call (360) 360-2195 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X61593286 (WA)

Mental Health Counselor: Definition to come...

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About NPI 1093531402

Kennedy R. Kidrick's National Provider Identifier is 1093531402, issued on Dec 2, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Chehalis, WA. The record was last updated on Dec 2, 2024.