Individual
MRS. LORI SUZANNE OLSEN KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
992 TAMIAMI TRAIL STE. E2, PORT CHARLOTTE, FL 33953-3868
(941) 208-6018
(941) 769-9997
Mailing address
21295 DEARBORN AVENUE, PORT CHARLOTTE, FL 33954
(941) 787-1226
(941) 769-9997
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MH-4750
FL
101YA0400X
Addiction (Substance Use Disorder) Counselor
MH-4750
FL
101YM0800X
Mental Health Counselor
MH-4750
FL
101YP2500X
Professional Counselor
MH-4750
FL
Other
Enumeration date
11/19/2024
Last updated
11/19/2024
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