Individual
KEIRA VIOLURA KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APCC
Contact information
Practice address
5284 ADOLFO RD STE 100, CAMARILLO, CA 93012-6790
(805) 289-0120
Mailing address
15305 RAYEN ST, NORTH HILLS, CA 91343-5117
(818) 892-3423
(818) 893-4509
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95-2633765
MEDI-CAL
CA
Enumeration date
01/13/2020
Last updated
11/19/2021
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