Individual provider · Type 1 NPI

La Detria King, LPC

Counselor · Augusta, GA

NPI number 1144564303 Active

Practice location

2610 Commons Blvd, Suite B
Augusta, GA 30909-2080

Call (706) 832-6679 Map

Mailing address

2918 Henry St
Augusta, GA 30909-3848

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XLPC006088 (GA)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1144564303

La Detria King, LPC's National Provider Identifier is 1144564303, issued on Nov 11, 2012. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Augusta, GA. The record was last updated on Nov 11, 2012.