Individual
JANA NOEL KIDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC, LCADC
Contact information
Practice address
840 INTERSTATE DR, GRAYSON, KY 41143-1768
(606) 329-8588
Mailing address
PO BOX 790, ASHLAND, KY 41105-0790
(066) 329-8588
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
268561
KY
101YP2500X
Professional Counselor
Primary
292106
KY
Other
Enumeration date
11/21/2017
Last updated
04/16/2025
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