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Mr. Anthony J. King SR., LLPC
Professional Counselor in Southfield, Michigan
NPI 1083777528

Anthony J. King SR. is a Professional Counselor based in Redford, MI and is specialized in Professional. Anthony J. King SR. practices in Southfield, MI and has the professional credentials of LLPC. The NPI Number for Anthony J. King SR. is 1083777528 and holds a License No. 6401008092 (Michigan).

The current practice location address for Anthony J. King SR. is 17352 W 12 Mile Rd, Southfield, MI and can be reached out via phone at 248-559-0730. You can also correspond with Anthony J. King SR. through the mailing address at 11319 SEMINOLE, REDFORD, MI - 48239-2375 (mailing address contact number: ).

Location: 17352 W 12 Mile Rd, Southfield, MI, 48239-2375
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083777528
Provider Name
Anthony J. King SR.
Credential
LLPC
Provider Entity Type
Individual
Gender
Male
Address
17352 W 12 Mile Rd, Southfield, MI, 48239-2375
Phone Number
248-559-0730
Fax Number
Provider Enumeration Date
12/18/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
17352 W 12 Mile Rd
City
Southfield
State
Michigan
Zip
48076-2119
Phone Number
248-559-0730
Fax Number
person
Provider Business Mailing Address Details
Address
11319 Seminole
City
Redford
State
Michigan
Zip
48239-2375
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
6401008092 (Michigan)
Definition
Definition to come...
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