Individual
DARREN MICHAEL KIDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1595 N VAGEDES AVE, FRESNO, CA 93728-1413
(559) 554-5127
Mailing address
1595 N VAGEDES AVE, FRESNO, CA 93728-1413
(559) 554-5127
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100039AN
—
CA
Enumeration date
09/26/2016
Last updated
03/06/2024
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