Individual
MRS. MELODY B KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LMHCA, LCACA
Contact information
Practice address
7853 TAFT ST, MERRILLVILLE, IN 46410-5240
(219) 791-9083
(219) 791-9084
Mailing address
1717 BRIARCLIFFE CT, CHESTERTON, IN 46304-3114
(219) 378-8701
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
87900102A
IN
101YM0800X
Mental Health Counselor
Primary
88002455A
IN
Other
Enumeration date
09/03/2024
Last updated
09/03/2024
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