King, Joanne

King, Joanne is an individual health care provider with primary practice located at 1900 East Main Street Ptsd Clinic (116A), Danville IL 61822. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Counseling is her primary health care specialty. King, Joanne can be contacted via phone (217) 554-4257.

Contact Information

Primary practice address
1900 East Main Street Ptsd Clinic (116A) Danville IL 61822
Phone: (217) 554-4257
Fax: (217) 554-4822
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 20040950 Indiana
Behavioral Health & Social Service Providers / Counseling 103TC1900X 20040950A Indiana

Profile Details

NPI number 1114977543
LBN Legal business name King, Joanne
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated May 24th, 2016 - about 9 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 1114977543 NPPES
Indiana MEDICAID 200177930

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