MEDICARE: CHRIS KING COUNSELING SERVICES LLC

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
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1669872131
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHRIS KING COUNSELING SERVICES LLC

Provider Business Mailing Address
First Line	:	8810 S YALE AVE
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74137-3551
Country	:	US
Telephone Number	:	918-760-5243
Fax Number	:	844-482-2279

Provider Business Practice Location Address
First Line	:	8810 S YALE AVE
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74137-3551
Country	:	US
Telephone Number	:	918-760-5243
Fax Number	:	844-482-2279

Authorized Official
Title or Position	:	OWNER
Name	:	CHRIS KING
Credential	:	LPC
Telephone Number	:	918-760-5243

Provider Enumeration Date	:	09/02/2014
Last Update Date	:	11/14/2023

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