Provider Demographics
NPI:1821613647
Name:KING, EMILY (LPC, NCC)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:KING
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4362 N KENMORE AVE APT 1
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60613-1328
Mailing Address - Country:US
Mailing Address - Phone:801-636-5732
Mailing Address - Fax:
Practice Address - Street 1:30 N MICHIGAN AVE STE 1217
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60602-3732
Practice Address - Country:US
Practice Address - Phone:312-725-3093
Practice Address - Fax:773-989-7207
Is Sole Proprietor?:No
Enumeration Date:2020-06-09
Last Update Date:2020-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health