person
Mrs. Wanetta King, LCSW
Military Health Care Provider in Beale Afb, California
NPI 1366494924

Wanetta King is a Military Health Care Provider based in Beale Afb, CA. Wanetta King practices in Beale Afb, CA and has the professional credentials of LCSW. The NPI Number for Wanetta King is 1366494924 and holds a License No. 2552-C (California).

The current practice location address for Wanetta King is 15301 Warren Shingle Rd, Beale Afb, CA and can be reached out via phone at 530-634-3423 and via fax at 530-634-0670.

Location: 15301 Warren Shingle Rd, Beale Afb, CA, 95903-1907
person
Provider Profile Details
NPI Number
1366494924
Provider Name
Wanetta King
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
15301 Warren Shingle Rd, Beale Afb, CA, 95903-1907
Phone Number
530-634-3423
Fax Number
530-634-0670
Provider Enumeration Date
05/16/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
15301 Warren Shingle Rd
City
State
Zip
95903-1907
Phone Number
530-634-3423
Fax Number
530-634-0670
person
Provider Business Mailing Address Details
Address
15301 Warren Shingle Rd
City
State
Zip
95903-1907
Phone Number
530-634-3423
Fax Number
530-634-0670
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
2552-C (Nevada)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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