King, La Detria
King, La Detria is an sole proprietor health care provider with primary practice located at 2610 Commons Blvd Suite B, Augusta GA 30909-2080. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. King, La Detria can be contacted via phone (706) 832-6679.Contact Information
Primary practice address
2610 Commons Blvd Suite B
Augusta GA 30909-2080
Phone: (706) 832-6679
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | LPC006088 | Georgia |
Profile Details
| NPI number | 1144564303 |
|---|---|
| LBN Legal business name | King, La Detria |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 11th, 2012 |
| Last updated | Nov 11th, 2012 - about 14 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.
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