Individual provider · Type 1 NPI

Holly Kidwell

Mental Health Counselor · Sandia Park, NM

NPI number 1508633199 Active

Practice location

PO Box 33
Sandia Park, NM 87047-0033

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1508633199

Holly Kidwell's National Provider Identifier is 1508633199, issued on Dec 5, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Sandia Park, NM. The record was last updated on Jan 26, 2026.