Individual
SHARON M KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
453 CERRILLOS RD, SANTA FE, NM 87501-3784
(505) 982-2711
Mailing address
PO BOX 22070, SANTA FE, NM 87502-2070
(505) 424-8060
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0112811
NM
Other
Enumeration date
01/16/2009
Last updated
01/16/2009
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