Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Angellee Kidd, SUDCOUNSELOR

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1619842853

Angellee Kidd, SUDCOUNSELOR is an Addiction (Substance Use Disorder) Counselor in Los Angeles, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

4920 Avalon Blvd
Los Angeles, CA 90011-4004
Phone: (323) 638-5071
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence R1620500725 (CA)

Record details

NPI number1619842853
Entity typeIndividual (Type 1)
GenderFemale
Credentials SUDCOUNSELOR
Sole proprietorYes
NPI enumeratedOctober 7, 2025
Last updated in NPPESOctober 7, 2025
Certification dateOctober 7, 2025

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