Individual
DR. LISA MARIE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D., MSW, LP, CAP
Contact information
Practice address
950 6TH AVE N, NAPLES, FL 34102-5633
(239) 659-2345
Mailing address
950 6TH AVE N, NAPLES, FL 34102-5633
(239) 659-2345
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
010141-2015
FL
101YA0400X
Addiction (Substance Use Disorder) Counselor
6801078040
MI
101YM0800X
Mental Health Counselor
6801078040
MI
103TA0400X
Addiction (Substance Use Disorder) Psychologist
PY9434
FL
103TB0200X
Cognitive & Behavioral Psychologist
PY9434
FL
103TC0700X
Clinical Psychologist
Primary
PY9434
FL
1041C0700X
Clinical Social Worker
6801078040
MI
Other
Enumeration date
02/05/2007
Last updated
11/09/2015
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