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General NPI Number Information
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NPI Number | 1063308690
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Entity Type | Individual
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Provider Name | CARA M KIDD MA CMHC
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Gender | Female
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Dates
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Enumeration Date | 06/18/2025
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 199 SPOTNAP RD STE 4
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22911-8827
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Country | US
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Telephone | 434-996-6393
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Fax |
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Provider Business Mailing Address
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Address Line | 98 VINCENNES RD
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22911-8570
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Country | US
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Telephone | 434-996-6393
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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