Individual provider · Type 1 NPI

Pebbles M. King, BS

Addiction (Substance Use Disorder) Counselor · Gautier, MS

NPI number 1619067345 Active

Practice location

3407 Shamrock Court
Gautier, MS 39553

Fax (228) 497-1363

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1619067345

Pebbles M. King, BS's National Provider Identifier is 1619067345, issued on Oct 13, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Gautier, MS. The record was last updated on Jul 8, 2007.