Individual
LORI ANN KIDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
246 S CORTEZ ST, PRESCOTT, AZ 86303-3939
(928) 910-3176
Mailing address
1584 W CLIFF ROSE RD, PRESCOTT, AZ 86305-7434
(928) 910-3176
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
15985
AZ
Other
Enumeration date
12/18/2019
Last updated
12/18/2019
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