Individual
LEATHA NICOLE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
869 MAIN ST STE 6B, WALPOLE, MA 02081-2985
(781) 269-9788
Mailing address
4236 WASHINGTON ST APT 408, BOSTON, MA 02131-2653
(661) 718-5718
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.017012
IL
Other
Enumeration date
01/25/2022
Last updated
01/25/2022
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