Individual
NIANA KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAS-A
Contact information
Practice address
3315 WILKINSON BLVD, CHARLOTTE, NC 28208-5631
(704) 697-0044
Mailing address
3420 CITY PARK DR APT 2401, CHARLOTTE, NC 28217-0368
(252) 469-3690
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NC
106S00000X
Behavior Technician
—
NC
Other
Enumeration date
06/10/2021
Last updated
06/12/2023
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