Individual provider · Type 1 NPI

Hannah Mae Kidder, LADC

Mental Health Counselor · Brooklyn Center, MN

NPI number 1215537477 Active

Practice location

6040 Earle Brown Dr Ste 100
Brooklyn Center, MN 55430-2561

Mailing address

1370 Mendota Heights Rd
Mendota Heights, MN 55120-1281

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X4470 (MN)
Addiction (Substance Use Disorder) Counselor 101YA0400X303758 (MN)

Mental Health Counselor: Definition to come...

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About NPI 1215537477

Hannah Mae Kidder, LADC's National Provider Identifier is 1215537477, issued on Oct 27, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Brooklyn Center, MN. The record was last updated on Oct 17, 2024.