Provider Demographics
NPI:1568546802
Name:KING, JAMES D (MMFT, LMFT, LPC)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:D
Last Name:KING
Suffix:
Gender:M
Credentials:MMFT, LMFT, LPC
Other - Prefix:
Other - First Name:J.
Other - Middle Name:DAVID
Other - Last Name:KING
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MMFT, LMFT, LPC
Mailing Address - Street 1:1049 N 3RD ST
Mailing Address - Street 2:SUITE 505
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79601-5833
Mailing Address - Country:US
Mailing Address - Phone:325-672-8883
Mailing Address - Fax:325-675-5833
Practice Address - Street 1:1049 N 3RD ST
Practice Address - Street 2:SUITE 505
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79601-5833
Practice Address - Country:US
Practice Address - Phone:325-672-8883
Practice Address - Fax:325-675-5833
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-24
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11468101YP2500X
TX3882106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist