| Doctor Name: | MR. TERRY KING |
| NPI Number: | 1235255381 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PLPC |
| License Number: | 2006009179 |
| Business Practice Address: | 206 Euclid Ave Monett, MO - 657082243 |
| Business Phone Number: | 4177730981 |
| Business Fax Number: | |
| Mailing Address: | 1346 S Kimbrough Ave, SPRINGFIELD |
| State: | MO |
| Postal Code: | 658071657 |
| Phone Number: | 4174250159 |
| Fax Number: | |
| NPI Enumeration Date: | 03/21/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 2006009179 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |