Individual
TRACI KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
515 CLANTON RD, CHARLOTTE, NC 28217-1309
(704) 871-2992
(704) 871-2994
Mailing address
515 CLANTON RD, CHARLOTTE, NC 28217-1309
(704) 871-2992
(704) 871-2994
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/08/2014
Last updated
07/08/2014
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