Individual
MRS. BEVERLY ANN KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC- S
Contact information
Practice address
2939 W WOODLAWN AVE, SAN ANTONIO, TX 78228-5015
(210) 503-4468
(210) 503-4470
Mailing address
6714 BAYPORT, SAN ANTONIO, TX 78239-2305
(210) 912-9937
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
64425
TX
Other
Enumeration date
04/26/2013
Last updated
03/11/2019
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