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Kelsey Phylicia King, T-CADC,BA
Addiction (Substance Use Disorder) Counselor in Waterloo, Iowa
NPI 1578093860

Kelsey Phylicia King is an Addiction (Substance Use Disorder) Counselor based in Cedar Falls, IA and is specialized in Addiction (Substance Use Disorder). Kelsey Phylicia King practices in Waterloo, IA and has the professional credentials of T-CADC,BA. The NPI Number for Kelsey Phylicia King is 1578093860 and holds a License No. T17072 (Iowa).

The current practice location address for Kelsey Phylicia King is 623 Kingsley Ave, Waterloo, IA and can be reached out via phone at 193-429-8989.

Location: 623 Kingsley Ave, Waterloo, IA, 50613-5313
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Provider Profile Details
NPI Number
1578093860
Provider Name
Kelsey Phylicia King
Credential
T-CADC,BA
Provider Entity Type
Individual
Gender
Female
Address
623 Kingsley Ave, Waterloo, IA, 50613-5313
Phone Number
193-429-8989
Fax Number
Provider Enumeration Date
06/19/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
T17072 05 IA
institution
Provider Business Practice Location Address Details
Address
623 Kingsley Ave
City
State
Zip
50701-2957
Phone Number
193-429-8989
Fax Number
person
Provider Business Mailing Address Details
Address
623 Kingsley Ave
City
State
Zip
50701-2957
Phone Number
193-429-8989
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
T17072 (Iowa)
Definition
Definition to come...
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