Individual
MS. ELYSA KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
209 LANG RD, PORTLAND, TX 78374-2629
(361) 643-4130
(361) 643-4891
Mailing address
209 LANG RD, PORTLAND, TX 78374-2629
(361) 643-4130
(361) 643-4891
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
65916
TX
Other
Enumeration date
07/30/2013
Last updated
07/30/2013
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