Individual
MR. JAMES KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8160 MAPLE LAWN BLVD, FULTON, MD 20759-2615
(240) 888-4762
Mailing address
9422 NORTHGATE RD, LAUREL, MD 20723-1364
(240) 888-4762
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCA105
MD
Other
Enumeration date
08/15/2014
Last updated
08/15/2014
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