Individual
AUDREY KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
1522 JOY AVE, JACKSON, MI 49203-1933
(517) 782-2551
Mailing address
1522 JOY AVE, JACKSON, MI 49203-1933
(517) 782-2551
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401012167
MI
Other
Enumeration date
02/25/2016
Last updated
02/25/2016
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