PEBBLES KING, BS

Counselor - Addiction (Substance Use Disorder)

Active Individual
NPI: 1619067345

Practice Address

3407 SHAMROCK COURT
Gautier, MS 39553

Phone: (228) 497-0690

Specialties

Specialty Code Primary License
Counselor - Addiction (Substance Use Disorder) 101YA0400X Yes -

Frequently Asked Questions

NPI 1619067345 is the National Provider Identifier for PEBBLES KING, BS, a Counselor - Addiction (Substance Use Disorder) provider located in Gautier, MS. This NPI was enumerated on October 13, 2006.
PEBBLES KING, BS practices at 3407 SHAMROCK COURT, Gautier, MS 39553.

Quick Facts

NPI
1619067345
Type
Individual
Enumerated
Oct 13, 2006
Last Updated
Jul 8, 2007

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