Aldreques Andros King, PASTORAL COUNSELOR

Primary specialty

Pastoral CounselorTaxonomy code 101YP1600X

License

07175319 Issued in GA

Practice address

5205 Stilesboro Rd NW Ste 225
Kennesaw, GA 30152-7748

Phone

(800) 910-5060

Fax

(800) 634-6360

NPI assigned

Mar 27, 2019

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553644800000",
    "number": "1649731118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5205 STILESBORO RD NW STE 225",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301527748",
            "telephone_number": "800-910-5060",
            "fax_number": "800-634-6360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5205 STILESBORO RD NW STE 225",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301527748",
            "telephone_number": "800-910-5060",
            "fax_number": "800-634-6360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "ALDREQUES",
        "middle_name": "ANDROS",
        "credential": "PASTORAL COUNSELOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-27",
        "last_updated": "2019-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "GA",
            "license": "07175319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gloria Kim, RN
• Jeanhie Frances Kim
• Kyoung-Soon Kim, MD
• Myia Frances Kimble, MA, PHLEBOTOMIST
• Kortney Kimura, D.C.
• Alexandra King, MED.,NCC
• Andrew King, DOCTORATE OF PHARMAC
• Angela Dawn King, D.C.
• Elberta King, RN
• Jennifer King

• Pastoral Counselor in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Pastoral Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.