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Individual
STEVEN KING
Active
Individual
STEVEN KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RAS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
A033590716
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FHC70042F
SANTA CRUZ COUNTY MEDI-CAL GROUP PTAN#
CA
01
—
FHC70044F
SANTA CRUZ COUNTY MEDI-CAL GROUP PTAN#
CA
01
—
ZZZ91891Z
SANTA CRUZ COUNTY MEDICARE GROUP PTAN#
CA
01
—
ZZZ91892Z
SANTA CRUZ COUNTY MEDICARE GROUP PTAN#
CA
01
—
ZZZ92069Z
SANTA CRUZ COUNTY MEDICARE GROUP PTAN#
CA
Enumeration date
04/15/2014
Last updated
03/24/2017
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