JAZELLE KIDD

THOUSAND OAKS, CA
NPI1619608908
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Additional Taxonomies106S00000X Behavior Technician
Enumeration Date2022-06-18
Last Update Date2026-02-10
Business Address
JAZELLE KIDD
1400 E JANSS RD
THOUSAND OAKS, CA 91362-2198
Phone number: 805-497-9511
Mailing Address
JAZELLE KIDD
1400 E JANSS RD
THOUSAND OAKS, CA 91362-2198
Phone number: