ALICIA KING
NPI 1083964423
Counselor - Mental Health in Brockton, MA
Active since September 13, 2012
About Alicia King NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALICIA KING (NPI 1083964423) is an individual mental health provider in Brockton, Massachusetts and active in the NPI registry since September 2012.
NPPES Registry Identity
NPI1083964423
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameALICIA KING
Location Address1115 WEST CHESTNUT STREETBrockton, MA 02301
Mailing Address109 Howland RoadStoughton, MA 02072 · (617) 462-1745
Phone(508) 580-4691
Sole ProprietorYes
Enumeration DateSeptember 13, 2012
✔ NPI 1083964423 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1115 WEST CHESTNUT STREET, Brockton, MA 02301
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Student in an Organized Health Care Education/Training Program
1115 WEST CHESTNUT STREET
BROCKTON, MA 02301
BROCKTON, MA 02301
Student in an Organized Health Care Education/Training Program
1115 WEST CHESTNUT STREET, SBMHC
BROCKTON, MA 02301
BROCKTON, MA 02301
Student in an Organized Health Care Education/Training Program
1115 WEST CHESTNUT STREET
BROCKTON, MA 02301
BROCKTON, MA 02301
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1083964423, enumerated as an "individual" on September 13, 2012.
The provider is located at 1115 WEST CHESTNUT STREET BROCKTON, MA 02301 and the phone number is (508) 580-4691.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.