Most Relevant Information
Provider Data
| NPI Number: | 1003592221 |
| Provider Name: | EMILY KIDD |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: | CG61461591 |
Most Important Dates
| Enumeration Date: | 06/22/2023 |
| Last Updated: | 07/06/2023 |
Provider Practice Location
4526 FEDERAL AVE BLDG 1
EVERETT
WA
982032132
Practice Location Phone/Fax
| Phone: | 4253496200 |
| Fax: |
Provider Mailing Location
4526 FEDERAL AVE BLDG 1
EVERETT
WA
982032132
Provider Mailing Phone/Fax
| Phone: | 4253496200 |
| Fax: |