Doctor Name: | MICHAEL K KING |
NPI Number: | 1558334292 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC LSW |
License Number: | C0005786 |
Business Practice Address: | 1521 N Detroit St West Liberty, OH - 433570817 |
Business Phone Number: | 9374658065 |
Business Fax Number: | 9374653505 |
Mailing Address: | Po Box 817, WEST LIBERTY |
State: | OH |
Postal Code: | 433570817 |
Phone Number: | 9374658065 |
Fax Number: | 9374653505 |
NPI Enumeration Date: | 02/13/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | C0005786 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |