Individual
CONNIE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7509 CHARLESTOWN PIKE, CHARLESTOWN, IN 47111
(812) 256-4686
(812) 256-3949
Mailing address
7509 CHARLESTOWN PIKE, CHARLESTOWN, IN 47111
(812) 256-4686
(812) 256-3949
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
101YA040X/COUNSELOR
IN
Other
Enumeration date
02/17/2017
Last updated
02/17/2017
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