Individual
JAMIE LYNN KIDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3850 CRENSHAW BLVD, LOS ANGELES, CA 90008-1821
(323) 593-5300
Mailing address
3850 CRENSHAW BLVD, LOS ANGELES, CA 90008-1821
(323) 593-5300
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
15139
CA
Other
Enumeration date
11/20/2023
Last updated
09/23/2024
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