Alaina Anne King, LPC, MA

Individual provider Active NPI Professional Counselor · East Lyme, CT

NPI 1720575541 · NPPES record last updated Nov 19, 2019

Key facts

NPI
1720575541
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
Practice address
315 Flanders Rd Ste a
East Lyme, CT 06333
Phone
(860) 739-7191
NPI assigned
Apr 17, 2018
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X CT
Professional Counselor 101YP2500X CT Yes

Addresses

Primary practice location

315 Flanders Rd Ste a
East Lyme, CT 06333

Mailing address

315 Flanders Rd Ste a
East Lyme, CT 06333-1711

Other practice location 1

31 Mohegan Ave
New London, CT 06320-8103
Phone (860) 444-8520

Other practice location 2

315 Flanders Rd Ste A
East Lyme, CT 06333
Phone (860) 739-7191

Other identifiers

IdentifierTypeStateIssuer
003924OtherCTLICENSED PROFESSIONAL COUNSELOR

Other providers in East Lyme, CT

All providers in East Lyme, CT · Professional Counselor in Connecticut

Sources for this page

Verify at the official NPI Registry.