Individual
MS. KATHY MARSHALL KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPAT, ATR-BC, LCADC
Contact information
Practice address
326 3RD ST FL 2, BEACH HAVEN, NJ 08008-1806
(808) 450-1841
Mailing address
326 3RD ST FL 2, BEACH HAVEN, NJ 08008-1806
(808) 450-1841
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16LP00023100
NJ
101YA0400X
Addiction (Substance Use Disorder) Counselor
CTB-2023-0766
NM
101YA0400X
Addiction (Substance Use Disorder) Counselor
RALR0770315
CA
101YP2500X
Professional Counselor
Primary
37LC00385200
NJ
221700000X
Art Therapist
37LC00385200
NJ
Other
Enumeration date
12/29/2011
Last updated
03/18/2024
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