Individual provider · Type 1 NPI
Kevin King
Professional Counselor · East Jordan, MI
NPI number
1114384633
Active
Practice location
117 S Lake St
East Jordan, MI 49727-9375
Mailing address
5345 Webster Bridge Rd
East Jordan, MI 49727-9673
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 6401002334 (MI) |
Professional Counselor: Definition to come...
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About NPI 1114384633
Kevin King's National Provider Identifier is 1114384633, issued on Jan 28, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in East Jordan, MI. The record was last updated on Jan 28, 2016.