Individual
HANNAH MAE KIDDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
6040 EARLE BROWN DR STE 100, BROOKLYN CENTER, MN 55430-2561
(651) 313-8080
Mailing address
1370 MENDOTA HEIGHTS RD, MENDOTA HEIGHTS, MN 55120-1281
(651) 313-8080
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
303758
MN
101YM0800X
Mental Health Counselor
Primary
4470
MN
Other
Enumeration date
10/27/2020
Last updated
10/17/2024
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