King, Andrea Jean

King, Andrea Jean is an sole proprietor health care provider with primary practice located at 775 Lexington Ave , Mansfield OH 44907-1906. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. King, Andrea Jean can be contacted via phone (419) 774-4110.

Contact Information

Primary practice address
775 Lexington Ave Mansfield OH 44907-1906
Phone: (419) 774-4110
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 150041 Ohio
Behavioral Health & Social Service Providers / Social Worker 104100000X S.1904156 Ohio

Profile Details

NPI number 1154856698
LBN Legal business name King, Andrea Jean
Credentials LSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 21st, 2017
Last updated Apr 9th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers