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Ms. Tarah Jean Kidd, MA
Professional Counselor in Williamsburg, Kentucky
NPI 1164757399

Tarah Jean Kidd is a Professional Counselor based in La Follette, KY and is specialized in Professional. Tarah Jean Kidd practices in Williamsburg, KY and has the professional credentials of MA. The NPI Number for Tarah Jean Kidd is 1164757399 and holds a License No. 0701008317 (Kentucky).

The current practice location address for Tarah Jean Kidd is 65 N Highway 25 W, Williamsburg, KY and can be reached out via phone at 606-549-0123.

Location: 65 N Highway 25 W, Williamsburg, KY, 37766-1721
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164757399
Provider Name
Tarah Jean Kidd
Credential
MA
Provider Entity Type
Individual
Gender
Female
Address
65 N Highway 25 W, Williamsburg, KY, 37766-1721
Phone Number
606-549-0123
Fax Number
Provider Enumeration Date
10/06/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
40588671 05 TN
1164757399 05 KY
institution
Provider Business Practice Location Address Details
Address
65 N Highway 25 W
City
Williamsburg
State
Kentucky
Zip
40769-1540
Phone Number
606-549-0123
Fax Number
person
Provider Business Mailing Address Details
Address
65 N Highway 25 W
City
Williamsburg
State
Kentucky
Zip
40769-1540
Phone Number
606-549-0123
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
243668 (Kentucky)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
0701008317 (Virginia)
Definition
Definition to come...
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