Individual
ABBY KIDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPCC-S
Contact information
Practice address
1047 HERITAGE ST, BLACKLICK, OH 43004-6063
(614) 205-3068
Mailing address
941 CHATHAM LN, SUITE 103, COLUMBUS, OH 43221-2416
(614) 568-3317
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E.10000327-SUPV
OH
101YP2500X
Professional Counselor
C. 1000571
OH
Other
Enumeration date
03/22/2014
Last updated
11/11/2022
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