Individual
LAURA KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2415 24TH ST, PORT HURON, MI 48060-6414
(108) 488-8840
Mailing address
2415 24TH ST, PORT HURON, MI 48060-6414
(810) 488-8840
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401015255
MI
Other
Enumeration date
01/26/2016
Last updated
01/09/2024
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