Individual provider · Type 1 NPI
Lisa Marie King, MA, LADAC
Addiction (Substance Use Disorder) Counselor · Canoncito, NM
NPI number
1144535337
Active
Practice location
86 Medicine Horse Dr., 86 Medicine Horse Dr.
Canoncito, NM 87026
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 702824 (NM) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 0131581 (NM) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1144535337
Lisa Marie King, MA, LADAC's National Provider Identifier is 1144535337, issued on Aug 11, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Canoncito, NM. The record was last updated on Oct 26, 2015.