Most Relevant Information
Provider Data
| NPI Number: | 1003250564 |
| Provider Name: | BEVERLY ANN KING LPC- S |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 64425 |
Most Important Dates
| Enumeration Date: | 04/26/2013 |
| Last Updated: | 03/11/2019 |
Provider Practice Location
2939 W WOODLAWN AVE
SAN ANTONIO
TX
782285015
Practice Location Phone/Fax
| Phone: | 2105034468 |
| Fax: | 2105034470 |
Provider Mailing Location
6714 BAYPORT
SAN ANTONIO
TX
782392305
Provider Mailing Phone/Fax
| Phone: | 2109129937 |
| Fax: |