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Individual
DARRELL G KING
Active
Individual
DARRELL G KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, RN, CMHN
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
604401
NY
101YA0400X
Addiction (Substance Use Disorder) Counselor
24330
NY
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
604401
NY
Other
Enumeration date
10/19/2011
Last updated
01/28/2020
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