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NPI Code Detail

MEDICARE: ANGELA KING THERAPIST

MEDICARE: ANGELA KING THERAPIST
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family TherapistMI4095NV

General Provider Information

NPI Number : 1548675614
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA KING THERAPIST
Provider Business Mailing Address
First Line : 6704 SAND SWALLOW ST
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89084-2838
Country : US
Telephone Number : 702-201-9494
Fax Number :
Provider Business Practice Location Address
First Line : 720 S JONES BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89107-3614
Country : US
Telephone Number : 702-201-9494
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2014
Last Update Date : 08/26/2025

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Directions to “ ANGELA KING THERAPIST” Practice Location

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