Individual provider · Type 1 NPI
Clyde Shelly King, LPC
Professional Counselor · Philadelphia, PA
NPI number
1699480814
Active
Practice location
2633 S Beulah St
Philadelphia, PA 19148-4514
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | None listed |
| Professional Counselor Primary | 101YP2500X | PC014966 (PA) |
Professional Counselor: Definition to come...
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About NPI 1699480814
Clyde Shelly King, LPC's National Provider Identifier is 1699480814, issued on Jan 23, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Philadelphia, PA. The record was last updated on Jan 23, 2023.