Lisa Marie King MA,CADAC/LADAC/ICADC

NPI 1144535337 - Counselor - 101YA0400X

NPI Details
NPI 1144535337
Gender Female
Enumeration Date 08/11/2010
Last Updated 10/26/2015
Entity Type Individual
Active Over 6 years ago
Practice Location
86 MEDICINE HORSE DR.
86 MEDICINE HORSE DR.
CANONCITO NM, 87026, US
Phone (505) 908-2571
Fax
Business Location
86 MEDICINE HORSE DR.
86 MEDICINE HORSE DR.
CANONCITO NM, 87026-3368, US
Phone (505) 908-2571
Fax
Toxanomy
Taxonomy Code 101YA0400X
License State New Mexico
License Number 10-131
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According to our database, Ms. Lisa Marie King MA,CADAC/LADAC/ICADC NPI is 1144535337, taxonomy code is 101YA0400X and license number is 10-131, license state is located at New Mexico. Lisa Marie King MA,CADAC/LADAC/ICADC physically located at 86 Medicine Horse Dr., Canoncito NM, 87026. NPI Number Lisa Marie King MA,CADAC/LADAC/ICADC has the Individual type.

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1144535337 NPI number is provided on an as is basis without warranty of any kind. 1144535337 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa Marie King MA,CADAC/LADAC/ICADC are for informational purposes only.