Individual
JASON WILBUR KIDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
LLMSW
Contact information
Practice address
2301 S HURON PKWY STE 2B, ANN ARBOR, MI 48104-5133
(734) 725-8802
Mailing address
3560 BARRY ST, WAYNE, MI 48184-1904
(734) 833-8082
(734) 833-8082
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6851120765
MI
Other
Enumeration date
07/31/2025
Last updated
07/31/2025
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