JASON KIDWELL

WINCHESTER, VA
NPI1134646292
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2017-08-29
Last Update Date2017-08-29
Business Address
JASON KIDWELL
500 PEGASUS CT STE 500
WINCHESTER, VA 22602-4596
Phone number: 540-313-4196
Mailing Address
JASON KIDWELL
55 BEATTIE PL STE 810
GREENVILLE, SC 29601-2191
Phone number: 864-527-3145
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