HANNAH MAE KIDDER


Address: 1605 Welcome Ave N, Golden Valley, MN 55422-4429
Phone: 6517885041

HANNAH MAE KIDDER (NPI# 1215537477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215537477
Entity Type Individual
Full Name HANNAH MAE KIDDER
Other Name HANNAH MAE FORNEY
Credential LADC
Practice Address 1605 Welcome Ave N
Golden Valley
MN 55422-4429
Practice Telephone 6517885041
Mailing Telephone 6517885041
Enumeration Date 2020-10-27
Last Update Date 2020-10-27
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
303758 MN Behavioral Health & Social Service Providers

Office Location

Street Address 1605 WELCOME AVE N
City GOLDEN VALLEY
State MN
Zip Code 55422-4429

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1497249536 Luke Utecht Psychologist 4150 Olson Memorial Hwy, Suite 420, Golden Valley, MN 55422 2018-06-21
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1467969907 Minneapolis Health Clinic Pllc Internal Medicine 4825 Olson Memorial Hwy., Suite 101, Golden Valley, MN 55422 2018-01-05
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477185346 Randolph Anderson Counselor 5645 Lindsay St, Golden Valley, MN 55422-4627 2020-02-10
1144713405 Danielle Marie Audette Counselor 4969 Olson Memorial Hwy, Golden Valley, MN 55422-5138 2018-06-12
1699100552 Elizabeth Gallion Counselor 4626 W English Dr, Golden Valley, AZ 86413-8238 2013-09-11
1437789864 Angela Weber Haag Counselor 1405 Lilac Dr N Ste 151, Golden Valley, MN 55422-4536 2020-01-24
1942867783 Michaela Fogelman Counselor 8085 Wayzata Blvd Ste 215, Golden Valley, MN 55426-1457 2019-05-28
1912453440 Jessica Jaye Feider Counselor 1405 Lilac Dr N Ste 151, Golden Valley, MN 55422-4536 2016-08-25
1255734240 Lynn Marie Bloom Counselor 5905 Golden Valley Rd, Suite 100, Golden Valley, MN 55422-4463 2014-10-03
1265870125 Jill Marie Hubble Counselor 701 Decatur Ave N, Suite 109, Golden Valley, MN 55427-4367 2013-06-12
1033481981 Megan Elizabeth Shaw Counselor 1405 Lilac Dr N Ste 151, Golden Valley, MN 55422-4536 2012-02-07
1033232707 Luther Holt Counselor 7575 Golden Valley Rd, Suite 230, Golden Valley, MN 55427-4562 2007-04-09
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Competitor

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City GOLDEN VALLEY
Zip Code 55422

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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