LISA KING

JEFFERSONVILLE, IN
NPI1528427929
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2016-02-15
Last Update Date2016-07-11
Business Address
-- LISA KING
3072 WOODED WAY
JEFFERSONVILLE, IN 47130-5993
Phone number: 502-689-1389
Mailing Address
-- LISA KING
3072 WOODED WAY
JEFFERSONVILLE, IN 47130-5993
Phone number: 502-689-1389