Individual
JENNIFER B KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, LPC, CSC
Contact information
Practice address
3581 GA HIGHWAY 300, OAKFIELD, GA 31772-1826
(229) 869-2963
Mailing address
3581 GA HIGHWAY 300, OAKFIELD, GA 31772-1826
(229) 869-2963
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
008398
GA
101YS0200X
School Counselor
394268
GA
Other
Enumeration date
09/01/2015
Last updated
09/01/2015
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