Individual
MS. KAYLA KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC, MSW
Contact information
Practice address
1308 ELBOWOOD LN, BISMARCK, ND 58503-5712
(701) 751-8260
Mailing address
1237 W DIVIDE AVE STE 5, BISMARCK, ND 58501-1208
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6465
ND
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1814
ND
Other
Enumeration date
08/23/2017
Last updated
05/18/2023
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