Individual
HOLLY KIDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 33, SANDIA PARK, NM 87047-0033
(505) 596-1787
Mailing address
PO BOX 33, SANDIA PARK, NM 87047-0033
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/05/2023
Last updated
01/26/2026
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