Individual provider · Type 1 NPI

Jenear Wimbley Kidd

Mental Health Counselor · Lawrenceville, GA

NPI number 1336486927 Active

Practice location

175 Gwinnett Dr
Lawrenceville, GA 30046-8444

Mailing address

370 Rays Rd
Stone Mtn, GA 30083-4216

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1336486927

Jenear Wimbley Kidd's National Provider Identifier is 1336486927, issued on Jan 15, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lawrenceville, GA. The record was last updated on Jan 15, 2013.