Individual
DARRELL G KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, RN, CMHN
Contact information
Practice address
1111 ELMWOOD AVE, ROCHESTER, NY 14620-3005
(585) 241-1707
(585) 241-1273
Mailing address
1111 ELMWOOD AVE, ROCHESTER, NY 14620-3005
(585) 241-1707
(585) 241-1273
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
604401
NY
101YA0400X
Addiction (Substance Use Disorder) Counselor
24330
NY
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
604401
NY
Other
Enumeration date
10/19/2011
Last updated
01/28/2020
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