BRENDA KING

JACKSON, OH
NPI1184134942
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: OH  141047)
Enumeration Date2017-10-06
Last Update Date2017-10-06
Business Address
BRENDA KING LCDCIII
151 E MAIN ST
JACKSON, OH 45640-1742
Phone number: 740-286-1888
Mailing Address
BRENDA KING LCDCIII
9645 BEAVER PIKE
JACKSON, OH 45640-9310
Phone number: