King, Brian

King, Brian is an individual health care provider with primary practice located at 243 Georgia St Ste B , Vallejo CA 94590-5905. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Health Service, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. King, Brian can be contacted via phone (707) 551-1348.

Contact Information

Primary practice address
243 Georgia St Ste B Vallejo CA 94590-5905
Phone: (707) 551-1348
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Health Service 103TH0100X PSY 24607 California
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY24607 California

Profile Details

NPI number 1942490230
LBN Legal business name King, Brian
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2007
Last updated Aug 12th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942490230 NPPES
California MEDICAID FHC70543G

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