Individual
MARNIE K KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLMHP
Contact information
Practice address
8610 BRENTWOOD DR, LA VISTA, NE 68128-3377
(402) 331-3232
(402) 331-1557
Mailing address
8610 BRENTWOOD DR, LA VISTA, NE 68128-3377
(402) 331-3232
(402) 331-1557
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
9263
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025057600
—
NE
05
—
47083066228
—
NE
Enumeration date
11/04/2010
Last updated
11/04/2010
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