Doctor Name: | MR. ROBERT M KING |
NPI Number: | 1215369277 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | L.L.P.C. |
License Number: | |
Business Practice Address: | 1521 W Mount Morris Rd Mount Morris, MI - 484581848 |
Business Phone Number: | 8105471369 |
Business Fax Number: | 8102327913 |
Mailing Address: | 1521 W Mount Morris Rd, MOUNT MORRIS |
State: | MI |
Postal Code: | 484581848 |
Phone Number: | 8105471369 |
Fax Number: | 8102327913 |
NPI Enumeration Date: | 08/01/2013 |
NPI Last Update Date: | 10/12/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |