Individual provider · Type 1 NPI
Kelsey Phylicia King, T-CADC, BA
Addiction (Substance Use Disorder) Counselor · Waterloo, IA
NPI number
1578093860
Active
Practice location
623 Kingsley Ave
Waterloo, IA 50701-2957
Mailing address
1609 Lilac Ln
Cedar Falls, IA 50613-5313
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | T17072 (IA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1578093860
Kelsey Phylicia King, T-CADC, BA's National Provider Identifier is 1578093860, issued on Jun 19, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Waterloo, IA. The record was last updated on Sep 28, 2022.