Individual
KIMBERLY J KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDPT
Contact information
Practice address
6926 NE FOURTH PLAIN BLVD, VANCOUVER, WA 98661
(360) 993-3000
(360) 993-3047
Mailing address
PO BOX 1337, VANCOUVER, WA 98666-1337
(360) 993-3000
(360) 993-3047
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CG60166608
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60147330
WA
Other
Enumeration date
12/06/2006
Last updated
02/23/2012
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