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Individual
KIRSTEN J KING
Active
Individual
KIRSTEN J KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1139LCPC
MT
101YP2500X
Professional Counselor
1139
MT
101YP2500X
Professional Counselor
1139 LCPC
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000744440
BLUE CROSS-SHIELD OF MONT
MT
Enumeration date
01/22/2008
Last updated
04/09/2012
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