| Doctor Name: | MS. KATHY MARSHALL KING |
| NPI Number: | 1205105798 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, CAADC, LAADC |
| License Number: | RALR90801213 |
| Business Practice Address: | 169 Santa Cruz Rd Tuckerton, NJ - 080874251 |
| Business Phone Number: | 8084501841 |
| Business Fax Number: | |
| Mailing Address: | 169 Santa Cruz Rd, TUCKERTON |
| State: | NJ |
| Postal Code: | 080874251 |
| Phone Number: | 8084501841 |
| Fax Number: | |
| NPI Enumeration Date: | 12/29/2011 |
| NPI Last Update Date: | 02/05/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | RALR90801213 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |