King, Leatha Nicole

King, Leatha Nicole is an individual health care provider with primary practice located at 869 Main St Ste 6B , Walpole MA 02081-2985. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. King, Leatha Nicole can be contacted via phone (781) 269-9788.

Contact Information

Primary practice address
869 Main St Ste 6B Walpole MA 02081-2985
Phone: (781) 269-9788
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 178.017012 Illinois

Profile Details

NPI number 1538811120
LBN Legal business name King, Leatha Nicole
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2022
Last updated Jan 25th, 2022 - about 2 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.

Request for update

Popular Providers