Jazelle Kidd
Jazelle Kidd is a Mental Health Counselor in Thousand Oaks, California. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
1400 E Janss RdThousand Oaks, CA 91362-2198
Phone: (805) 497-9511
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|---|
| Behavior Technician | Taxonomy 106S00000X |
Record details
| NPI number | 1619608908 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | June 18, 2022 |
| Last updated in NPPES | February 10, 2026 |
| Certification date | February 10, 2026 |
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