Individual provider · Type 1 NPI

Alexa Nichole Kidman

Mental Health Counselor · Fair Oaks, CA

NPI number 1760133300 Active

Practice location

4125 Temescal St
Fair Oaks, CA 95628-7558

Call (916) 877-6894 Map

Mailing address

5716 Folsom Blvd # 276
Sacramento, CA 95819-4608

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X106466 (CA)

Mental Health Counselor: Definition to come...

3 other providers at this address

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About NPI 1760133300

Alexa Nichole Kidman's National Provider Identifier is 1760133300, issued on Jan 14, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fair Oaks, CA. The record was last updated on Jan 14, 2022.