Individual
YVETTE A KIDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMFT
Contact information
Practice address
300 3RD AVE SE STE 402, ROCHESTER, MN 55904-4613
(507) 218-8973
(507) 206-0450
Mailing address
300 3RD AVE SE STE 402, ROCHESTER, MN 55904-4613
(507) 218-8973
(507) 206-0450
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003284621
—
MN
Enumeration date
09/14/2015
Last updated
04/21/2024
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