Individual
CHARLOTTE LESLIE KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAADAC II
Contact information
Practice address
13700 58TH ST. N, BLDG 2, SUITE 209, CLEARWATER, FL 33760
(727) 223-3545
(727) 223-3785
Mailing address
1720 LAKEPOINTE DR STE 117, LEWISVILLE, TX 75057-6425
(214) 379-3300
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
A0018590515
CA
Other
Enumeration date
01/03/2023
Last updated
01/03/2023
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