Individual
AMANDA MICHELLE KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
100 ESSEX CT STE A, MADISON, AL 35758-3140
(256) 533-9393
Mailing address
100 ESSEX CT STE A, MADISON, AL 35758-3140
(256) 533-9393
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
L462
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51183488
BLUE CROSS BLUE SHIELD OF AL
AL
Enumeration date
08/29/2016
Last updated
02/18/2019
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