Individual
KRISTEN MARIE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSAC-A
Contact information
Practice address
5322 LADYSMITH RD, RUTHER GLEN, VA 22546-1325
(888) 887-6867
Mailing address
7 DORIA HILL DR, STAFFORD, VA 22554-9456
(703) 986-9876
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0711000764
VA
Other
Enumeration date
06/19/2025
Last updated
06/19/2025
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