Individual
ALETHIA S KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA NCC LPC
Contact information
Practice address
2319 ST MATTHEWS ROAD, ORANGEBURG, SC 29118
(803) 536-1571
(803) 536-1463
Mailing address
2319 ST MATTHEWS ROAD, ORANGEBURG, SC 29118
(803) 536-1571
(803) 536-1463
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4291
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
413093
—
SC
Enumeration date
11/17/2006
Last updated
07/08/2007
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