Individual
MS. NICOLE LYNN KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
31 6TH ST, MALONE, NY 12953-1246
(518) 651-2272
Mailing address
PO BOX 608, MALONE, NY 12953-0608
(518) 651-2722
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/07/2017
Last updated
07/07/2017
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