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NPI Code Detail

MEDICARE: SUMMER D KING LPC, LADCMH

MEDICARE: SUMMER D KING LPC, LADCMH
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1386764991
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUMMER D KING LPC, LADCMH
Provider Business Mailing Address
First Line : 6100 S WALKER AVE
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73139-7026
Country : US
Telephone Number : 405-634-4400
Fax Number : 405-632-1976
Provider Business Practice Location Address
First Line : 6100 S WALKER AVE
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73139-7026
Country : US
Telephone Number : 405-634-4400
Fax Number : 405-632-1976
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2007
Last Update Date : 11/05/2019

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Directions to “ SUMMER D KING LPC, LADCMH” Practice Location

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