Individual provider · Type 1 NPI

Phyllis King

Mental Health Counselor · Santa Rosa, CA

NPI number 1073702304 Active

Practice location

3333 Chanate Rd
Santa Rosa, CA 95404-1707

Call (707) 565-4810 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMFC32787 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1073702304

Phyllis King's National Provider Identifier is 1073702304, issued on Oct 23, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Santa Rosa, CA. The record was last updated on Oct 23, 2007.