Individual
JENNIFER RUTH KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10825 BENNETT RD, DUNKIRK, NY 14048-3507
(716) 363-3550
(716) 753-4230
Mailing address
7 N ERIE ST, MAYVILLE, NY 14757-1095
(716) 753-4104
(716) 753-4230
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
25209
NY
Other
Enumeration date
12/14/2011
Last updated
12/14/2011
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