MS. Lisa Marie King, MA,LADAC
NPI #1144535337 in Canoncito, New Mexico
Provider Information
- NPI Number
- 1144535337
- Entity Type
- Individual
- Name
- MS. Lisa Marie King, MA,LADAC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- MA,LADAC
- Enumeration Date
- Aug 11, 2010
- Last Updated
- Oct 26, 2015
Practice Location
- Address
- 86 MEDICINE HORSE DR.
- Address 2
- 86 MEDICINE HORSE DR.
- City
- Canoncito
- State
- New Mexico
- ZIP Code
- 87026
- Phone
- (505) 908-2571
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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