Individual
CHRISTINA MARIE KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, NCC, LPC
Contact information
Practice address
928 JAYMOR RD, SOUTHAMPTON, PA 18966-3826
(215) 833-5817
Mailing address
PO BOX 4406, BASALT, CO 81621-4406
(215) 833-5817
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
PC006494
PA
Other
Enumeration date
02/19/2010
Last updated
06/20/2013
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