MEDICARE: MR. JEFFREY BARTON KING MA, 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
1	101YM0800X	Mental Health Counselor	82907	TX

General Provider Information

NPI Number	:	1780253294
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JEFFREY BARTON KING MA, LPC

Provider Business Mailing Address
First Line	:	6504 COLLARD CT
Second Line	:
City	:	NORTH RICHLAND HILLS
State	:	TX
Zip	:	76182-4224
Country	:	US
Telephone Number	:	181-731-2334
Fax Number	:

Provider Business Practice Location Address
First Line	:	6504 COLLARD CT
Second Line	:
City	:	NORTH RICHLAND HILLS
State	:	TX
Zip	:	76182-4224
Country	:	US
Telephone Number	:	817-312-3349
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/19/2021
Last Update Date	:	06/19/2021

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