Individual
TINA KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
117 STATE ROUTE 35 STE 2, EATONTOWN, NJ 07724-1886
(732) 982-2888
Mailing address
175 E HAWTHORN PKWY, SUITE 235, VERNON HILLS, IL 60061-1463
(847) 868-3435
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37AC00052000
NJ
Other
Enumeration date
03/09/2014
Last updated
03/09/2014
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