Individual
CHRISTINA M KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHP
Contact information
Practice address
6415 STANLEY, BERWYN, IL 60402
(708) 788-0511
(708) 788-0831
Mailing address
5223 S NEENAH AVE, CHICAGO, IL 60638-1205
(773) 586-2066
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/29/2006
Last updated
07/08/2007
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