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

Kennedy R Kidrick

Individual provider Mental Health Counselor · NPI 1093531402

Kennedy R Kidrick is a Mental Health Counselor in Chehalis, Washington. Licensed in Washington. Registered with an NPI since 2024.

Licensed in
WA
In the registry since
2024

Practice location Address checks out

409 S Market Blvd # 11
Chehalis, WA 98532-3043
Phone: (360) 360-2195
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 61593286 (WA)

Record details

NPI number1093531402
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 2, 2024
Last updated in NPPESDecember 2, 2024
Certification dateDecember 2, 2024
Mailing address409 S Market Blvd # 11, Chehalis, WA 98532-3043

Other providers in Chehalis