Provider Demographics
NPI:1871072306
Name:STEWART-KING, SHIRA (MA, CMHC, NCC)
Entity type:Individual
Prefix:
First Name:SHIRA
Middle Name:
Last Name:STEWART-KING
Suffix:
Gender:F
Credentials:MA, CMHC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 FAYETTE ST APT 300
Mailing Address - Street 2:
Mailing Address - City:CONSHOHOCKEN
Mailing Address - State:PA
Mailing Address - Zip Code:19428-1361
Mailing Address - Country:US
Mailing Address - Phone:215-280-5629
Mailing Address - Fax:
Practice Address - Street 1:1300 FAYETTE ST APT 300
Practice Address - Street 2:
Practice Address - City:CONSHOHOCKEN
Practice Address - State:PA
Practice Address - Zip Code:19428-1361
Practice Address - Country:US
Practice Address - Phone:215-280-5629
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-07
Last Update Date:2023-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)