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Individual
MS. MARY KING
Active
Individual
MS. MARY KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
71646
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
71646
TX
101YM0800X
Mental Health Counselor
71646
TX
101YP2500X
Professional Counselor
Primary
71646
TX
101YS0200X
School Counselor
71646
TX
102L00000X
Psychoanalyst
71646
TX
106H00000X
Marriage & Family Therapist
71646
TX
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
352705301
—
TX
05
—
352705302
—
TX
01
—
840LQB
BLUE CROSS BLUE SHIELD
TX
Enumeration date
02/11/2011
Last updated
03/23/2016
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