Individual
DESTINY BROOKS KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC,
Contact information
Practice address
27 S MAIN ST, STATESBORO, GA 30458-5245
(912) 225-3769
(888) 241-9172
Mailing address
1 BIRDIE CT, STATESBORO, GA 30458-9104
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC011783
GA
Other
Enumeration date
10/12/2020
Last updated
10/12/2020
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