National Provider Identifier

Colleen E King, MSW

Colleen E King, MSW is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Ithaca, NY and a listed phone number of (607) 274-6288.

NPI 1760831903Ithaca, NYAddiction (Substance Use Disorder) Counselor

Profile Overview

NPI
1760831903
Provider Type
Individual
Primary Specialty
Addiction (Substance Use Disorder) Counselor
Enumeration Date
June 08, 2016
Last Updated
June 08, 2016

Practice Location

  • 201 E Green St
  • Suite 500
  • Ithaca, NY 14850-5635

Phone: (607) 274-6288

Specialties

  • Addiction (Substance Use Disorder) Counselor (101YA0400X)
Full Record
NPI
1760831903
Entity Type
Individual
Last Name
King
First Name
Colleen
Middle Name
E
Credential
MSW
Mailing Street Address
201 E Green St
Mailing Address Line 2
Suite 500
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14850-5635
Mailing Country
US
Mailing Phone
(607) 274-6288
Mailing Fax
(607) 274-6280
Practice Street Address
201 E Green St
Practice Address Line 2
Suite 500
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-5635
Practice Country
US
Practice Phone
(607) 274-6288
Practice Fax
(607) 274-6280
Enumeration Date
June 08, 2016
Last Updated
June 08, 2016
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Addiction (Substance Use Disorder) Counselor (101YA0400X)