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NPI Code Detail

MEDICARE: LAURA KING LPC

MEDICARE: LAURA 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
1101Y00000XCounselor6401015255MI

General Provider Information

NPI Number : 1265899934
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA KING LPC
Provider Business Mailing Address
First Line : 2415 24TH ST
Second Line :
City : PORT HURON
State : MI
Zip : 48060-6414
Country : US
Telephone Number : 810-488-8840
Fax Number :
Provider Business Practice Location Address
First Line : 2415 24TH ST
Second Line :
City : PORT HURON
State : MI
Zip : 48060-6414
Country : US
Telephone Number : 108-488-8840
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2016
Last Update Date : 01/09/2024

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Directions to “ LAURA KING LPC” Practice Location

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