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NPI Code Detail

MEDICARE: NICOLE KING CIT

MEDICARE: NICOLE KING CIT
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
1101YA0400XAddiction (Substance Use Disorder) CounselorCIT-5440LA

General Provider Information

NPI Number : 1841038056
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE KING CIT
Provider Business Mailing Address
First Line : 709 E NORTH PL
Second Line :
City : AMITE
State : LA
Zip : 70422-2307
Country : US
Telephone Number : 985-289-5264
Fax Number :
Provider Business Practice Location Address
First Line : 709 E NORTH PL
Second Line :
City : AMITE
State : LA
Zip : 70422-2307
Country : US
Telephone Number : 985-289-5264
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2024
Last Update Date : 07/20/2024

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Directions to “ NICOLE KING CIT” Practice Location

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