Individual provider · Type 1 NPI

Jazelle Kidd

Mental Health Counselor · Thousand Oaks, CA

NPI number 1619608908 Active

Practice location

1400 E Janss Rd
Thousand Oaks, CA 91362-2198

Call (805) 497-9511 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed
Behavior Technician 106S00000XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1619608908

Jazelle Kidd's National Provider Identifier is 1619608908, issued on Jun 18, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Thousand Oaks, CA. The record was last updated on Feb 10, 2026.