Individual
LIBNA T KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
2701 17TH ST, ROCK ISLAND, IL 61201-5351
(309) 779-3073
Mailing address
2701 17TH ST, ROCK ISLAND, IL 61201-5351
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37738
IL
Other
Enumeration date
05/23/2025
Last updated
05/28/2025
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