Individual
KIMBERLY ANN KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2022 15TH AVE, COLUMBUS, GA 31901-1608
(706) 649-6500
(706) 649-6521
Mailing address
146 LEE ROAD 556, PHENIX CITY, AL 36867-0933
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC007586
GA
Other
Enumeration date
05/19/2017
Last updated
05/19/2017
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