Individual
KING IYOBOSA WILLIAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15640 N 7TH ST STE A1, PHOENIX, AZ 85022-3520
(602) 675-0864
(602) 675-1839
Mailing address
PO BOX 63811, PHOENIX, AZ 85082-3811
(480) 579-6930
(602) 675-1839
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
Other
Enumeration date
12/26/2023
Last updated
12/26/2023
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