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Individual

MALACHI KING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LSAA,CPSW

Contact information

Practice address
7384 VISTA DE SOBRE DR, LAS CRUCES, NM 88012-0773
(575) 202-6134
Mailing address
7384 VISTA DE SOBRE DR, LAS CRUCES, NM 88012-0773
(575) 202-6134

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CTB-2025-0172
NM
104100000X
Social Worker
Primary
SWB-2025-0826
NM
175T00000X
Peer Specialist
1353
NM

Other

Enumeration date
12/01/2022
Last updated
07/25/2025
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