Individual
MIA NICOLE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
310 NE 28TH ST STE 204, OKLAHOMA CITY, OK 73105-2837
(405) 601-4565
Mailing address
11600 STAGECOACH TRL, OKLAHOMA CITY, OK 73114-7960
(918) 237-1760
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
10304
OK
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
09/01/2021
Last updated
03/16/2026
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