Individual provider · Type 1 NPI

Edward Cecil King, LCSW

Mental Health Counselor · Port Orange, FL

NPI number 1659623213 Active

Practice location

1690 Dunlawton Ave, Suite 125
Port Orange, FL 32127-8979

Call (386) 236-9271 Map

Mailing address

6112 Palmas Dr
Port Orange, FL 32127-6751

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X10520 (FL)
Mental Health Counselor Primary 101YM0800X10520 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1659623213

Edward Cecil King, LCSW's National Provider Identifier is 1659623213, issued on Oct 8, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Port Orange, FL. The record was last updated on Jun 14, 2022.