Individual
BRANDE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
360 S GRANT AVE, COLUMBUS, OH 43215-5537
(614) 398-3470
Mailing address
4501 RAMSDELL DR, COLUMBUS, OH 43231-6168
(614) 271-3175
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
163821
OH
Other
Enumeration date
10/31/2017
Last updated
10/31/2017
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