Individual
ANGELA KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW, LSAA
Contact information
Practice address
7 MUNICIPAL WAY, EDGEWOOD, NM 87015-7210
(505) 281-3406
Mailing address
7 MUNICIPAL WAY, EDGEWOOD, NM 87015-7210
(505) 281-3406
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CSA0211931
NM
104100000X
Social Worker
Primary
SWB-2024-0766
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
N0009671
—
NM
Enumeration date
05/26/2017
Last updated
01/06/2026
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