Kidder, Hannah Mae
Kidder, Hannah Mae is an sole proprietor health care provider with primary practice located at 6040 Earle Brown Dr Ste 100 , Brooklyn Center MN 55430-2561. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Kidder, Hannah Mae can be contacted via phone (651) 313-8080.Contact Information
Primary practice address
6040 Earle Brown Dr Ste 100
Brooklyn Center MN 55430-2561
Phone: (651) 313-8080
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 4470 | Minnesota |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 303758 | Minnesota |
Profile Details
| NPI number | 1215537477 |
|---|---|
| LBN Legal business name | Kidder, Hannah Mae |
| Credentials | LADC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 27th, 2020 |
| Last updated | Oct 17th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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