Individual provider · Type 1 NPI

Gerry Ann King, CRADC

Addiction (Substance Use Disorder) Counselor · Columbia, MO

NPI number 1043645310 Active

Practice location

1301 Vandiver Dr, Suite Y
Columbia, MO 65202-3900

Call (816) 401-1310 Map

Mailing address

1301 Vandiver, Suite Y
Columbia, MO 65202

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1043645310

Gerry Ann King, CRADC's National Provider Identifier is 1043645310, issued on Sep 5, 2013. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Columbia, MO. The record was last updated on Sep 5, 2013.