Individual
JANE R KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
702 S KENDRICK AVE, GILLETTE, WY 82716-4349
(307) 688-8700
Mailing address
702 S KENDRICK AVE, GILLETTE, WY 82716-4349
(307) 688-8700
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
89652
TX
101YP2500X
Professional Counselor
2065
WY
101YP2500X
Professional Counselor
Primary
89652
TX
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
—
—
Other
Enumeration date
08/22/2018
Last updated
01/13/2026
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