Individual
COLLEEN E KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
201 E GREEN ST, SUITE 500, ITHACA, NY 14850-5635
(607) 274-6288
(607) 274-6280
Mailing address
201 E GREEN ST, SUITE 500, ITHACA, NY 14850-5635
(607) 274-6288
(607) 274-6280
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/08/2016
Last updated
06/08/2016
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