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NPI Code Detail

MEDICARE: DR. JENNIFER HORNE KING PHD, LMFT

MEDICARE: DR. JENNIFER HORNE KING PHD, LMFT
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
1106H00000XMarriage & Family Therapist000791-1NY
2106H00000XMarriage & Family TherapistMF5113ME
3106H00000XMarriage & Family Therapist226NH
4101YP2500XProfessional CounselorMF5113ME

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11821283235OTHERNYNPI
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1821283235
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JENNIFER HORNE KING PHD, LMFT
Provider Business Mailing Address
First Line : 173 GRAY RD
Second Line :
City : FALMOUTH
State : ME
Zip : 04105-2514
Country : US
Telephone Number : 207-489-9393
Fax Number : 207-489-9393
Provider Business Practice Location Address
First Line : 173 GRAY RD
Second Line :
City : FALMOUTH
State : ME
Zip : 04105-2514
Country : US
Telephone Number : 207-489-9393
Fax Number : 207-489-9393
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/10/2007
Last Update Date : 04/24/2023

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