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EMILY KING
Mental Health >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1790197119
Individual Registrant: EMILY KING
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
501 MIZE ST LA FAYETTE, GA 30728-3346 US
Tel: 706-806-1120 Fax: --
Tel: 706-806-1120 Fax: --
Contact information for business:
PO BOX 179 APISON, TN 37302-0179 US
Tel: 937-205-8689 Fax: --
Tel: 937-205-8689 Fax: --
Registration Information:
NPI: 1790197119
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 101YM0800X | Behavioral Health & Social Service Providers Counselor Mental Health | GA | APC004370 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
