Individual
ALFONZA A. KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
3846 TRASK DR, COLUMBUS, GA 31903-2937
(706) 566-3166
Mailing address
3846 TRASK DR, COLUMBUS, GA 31903-2937
(706) 566-3166
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC009399
GA
Other
Enumeration date
10/17/2017
Last updated
10/17/2017
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