Individual
MS. LATANYA KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASTERS MAED
Contact information
Practice address
1122 EAST BUCKEYE ROAD, SUITE B-1, PHOENIX, AZ 85034
(602) 252-2241
(602) 252-2482
Mailing address
1122 E BUCKEYE RD, 6216 S. 36TH STREET, PHOENIX, AZ 85034-4020
(602) 252-2241
(602) 252-2482
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LISAC-0821
AZ
Other
Enumeration date
01/13/2011
Last updated
01/13/2011
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