Individual
BREANNA ANTIONETTE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW, MSW
Contact information
Practice address
3253 CONGRESS AVE, SAGINAW, MI 48602-3106
(989) 475-4171
(989) 393-6021
Mailing address
1213 E ISABELLA RD, MIDLAND, MI 48640-8344
(989) 835-3466
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
6801122097
MI
1041C0700X
Clinical Social Worker
6851115439
MI
Other
Enumeration date
05/12/2022
Last updated
04/21/2026
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