Most Relevant Information
Provider Data
| NPI Number: | 1003586413 |
| Provider Name: | VANESSA RAE KING LPC-S |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 63097 |
Most Important Dates
| Enumeration Date: | 09/16/2021 |
| Last Updated: | 09/16/2021 |
Provider Practice Location
3131 EXECUTIVE DR
SAN ANGELO
TX
769046801
Practice Location Phone/Fax
| Phone: | 3252621982 |
| Fax: |
Provider Mailing Location
12110 LITTLE SORREL TRL
SAN ANGELO
TX
769044269
Provider Mailing Phone/Fax
| Phone: | 3252621982 |
| Fax: |