Individual
NIKOLE KIDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
425 JULIANA ST, PARKERSBURG, WV 26101-5352
(304) 893-9777
Mailing address
425 JULIANA ST, PARKERSBURG, WV 26101-5352
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
06/02/2021
Last updated
06/02/2025
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