Individual
MRS. VIVIAN GAIL KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
318 MARKET STREET, SPENCER, WV 25276-6906
(304) 519-0503
(304) 927-5201
Mailing address
318 MARKET STREET, SPENCER, WV 25276
(304) 519-0503
(304) 927-5201
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1069
WV
101YP2500X
Professional Counselor
1069
WV
Other
Enumeration date
02/27/2007
Last updated
12/28/2012
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