Individual
SYLVIA MARIE KIDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
9000 GLACIER HIGHWAY, SUITE 204, JUNEAU, AK 99801-8097
(907) 790-9622
(907) 790-9622
Mailing address
9000 GLACIER HIGHWAY, SUITE 204, JUNEAU, AK 99801-8097
(907) 790-9622
(907) 790-9622
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
15
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15
LPC
AK
Enumeration date
04/10/2007
Last updated
07/08/2007
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