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Tanaja Kimberly Kidd
Mental Health Counselor in Pepper Pike, Ohio
NPI 1841768306

Tanaja Kimberly Kidd is a Mental Health Counselor based in Pepper Pike, OH and is specialized in Mental Health. Tanaja Kimberly Kidd practices in Pepper Pike, OH. The NPI Number for Tanaja Kimberly Kidd is 1841768306 and holds a License No. (Ohio).

The current practice location address for Tanaja Kimberly Kidd is 3737 Lander Rd, Pepper Pike, OH and can be reached out via phone at 216-831-2255.

Location: 3737 Lander Rd, Pepper Pike, OH, 44124-5712
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841768306
Provider Name
Tanaja Kimberly Kidd
Credential
Provider Entity Type
Individual
Gender
Female
Address
3737 Lander Rd, Pepper Pike, OH, 44124-5712
Phone Number
216-831-2255
Fax Number
Provider Enumeration Date
11/02/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2871101 05 OH
institution
Provider Business Practice Location Address Details
Address
3737 Lander Rd
City
Pepper Pike
State
Ohio
Zip
44124-5712
Phone Number
216-831-2255
Fax Number
person
Provider Business Mailing Address Details
Address
3737 Lander Rd
City
Pepper Pike
State
Ohio
Zip
44124-5712
Phone Number
216-831-2255
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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