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Individual

MATTHEW KOBE KING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMFT

Contact information

Practice address
123 EMMA RD, BASALT, CO 81621-9169
(970) 945-2840
(970) 945-2893
Mailing address
2700 GILSTRAP CT STE 230, GLENWOOD SPRINGS, CO 81601-8735
(970) 945-2840
(970) 945-2893

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0008319
CO
106H00000X
Marriage & Family Therapist
Primary
0001559
CO

Other

Enumeration date
03/23/2018
Last updated
11/04/2020
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