Individual
LETRILLA C KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.D.
Contact information
Practice address
1501 5TH AVE. STE. 100, SAN DIEGO, CA 92101
(619) 865-0988
(619) 456-0988
Mailing address
1501 5TH AVE. STE. 100, SAN DIEGO, CA 92101
(619) 865-0988
(619) 456-0988
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103TC1900X
Counseling Psychologist
Primary
31495
CA
Other
Enumeration date
03/09/2016
Last updated
12/09/2019
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