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Organization
KING OF HEARTS LIFE ENHANCEMENT CENTER
Active
Organization
KING OF HEARTS LIFE ENHANCEMENT CENTER
Active
Other names
Dr. Tara M King
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TARA MICHELLE KING LPC, LCADC (DIRECTOR)
(848) 333-9330
Entity
Organization
Contact information
Practice address
522 BRICK BLVD, BRICK, NJ 08723-6089
(732) 240-2545
(732) 475-6265
Mailing address
522 BRICK BLVD, BRICK, NJ 08723-6089
(732) 240-2545
(732) 475-6265
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
37LC00034800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101YAO400X
LEVEL III AREA OF SPECIALIZATION ALCOHOL AND DRUG COUNSELOR
NJ
Enumeration date
08/07/2014
Last updated
08/07/2014
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