Doctor Name: | DAVID M. KING |
NPI Number: | 1205989274 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC, CAC |
License Number: | PC001433 |
Business Practice Address: | 1082 Zion Rd Bellefonte, PA - 168232511 |
Business Phone Number: | 8143557629 |
Business Fax Number: | 8143539255 |
Mailing Address: | 105 Tamara Cir, PLEASANT GAP |
State: | PA |
Postal Code: | 168239663 |
Phone Number: | 8143592898 |
Fax Number: | |
NPI Enumeration Date: | 01/20/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | PC001433 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |