Individual
GERRY ANN KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRADC
Contact information
Practice address
1301 VANDIVER DR, SUITE Y, COLUMBIA, MO 65202-3900
(816) 401-1310
Mailing address
1301 VANDIVER, SUITE Y, COLUMBIA, MO 65202
(816) 401-1310
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/05/2013
Last updated
09/05/2013
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