Individual
KEVIN RONALD SIDDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1208 EASTCHESTER DR, SUITE 240, HIGH POINT, NC 27265-3170
(336) 906-7688
Mailing address
1208 EASTCHESTER DR, SUITE 240, HIGH POINT, NC 27265-3170
(336) 906-7688
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3713
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3713
NCBLPC
NC
Enumeration date
06/13/2008
Last updated
04/08/2013
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