Individual
ANDREA J KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PRC13756
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPC
MENTAL HEALTH
DC
01
—
PRC-13756
LCPC
DC
Enumeration date
12/30/2022
Last updated
12/30/2022
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