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NPI Code Detail

MEDICARE: MRS. CAROL M KING LPC

MEDICARE: MRS. CAROL M KING LPC
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
1101YP2500XProfessional Counselor37PC00443500NJ
2101YP1600XPastoral Counselor

General Provider Information

NPI Number : 1225133564
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CAROL M KING LPC
Provider Business Mailing Address
First Line : 311 11TH AVE
Second Line :
City : SPRING LAKE
State : NJ
Zip : 07762-1946
Country : US
Telephone Number : 301-564-0308
Fax Number :
Provider Business Practice Location Address
First Line : 36 SOUTH ST
Second Line :
City : MANASQUAN
State : NJ
Zip : 08736-3440
Country : US
Telephone Number : 732-413-3884
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2006
Last Update Date : 06/26/2013

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Directions to “ MRS. CAROL M KING LPC” Practice Location

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