Individual
MS. PHOEBE K KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, ACS
Contact information
Practice address
1924 STATE ROUTE 35 STE 9A, WALL TOWNSHIP, NJ 07719-3530
(732) 359-8686
(732) 359-8688
Mailing address
601 N LAKE SHORE DR, BRICK, NJ 08723-5035
(732) 359-8686
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
37AC00057600
NJ
101YP2500X
Professional Counselor
Primary
37PC00489100
NJ
Other
Enumeration date
06/09/2009
Last updated
02/28/2024
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