Individual
CHARLES MICHAEL KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC-A, LMFT-A, LCDC
Contact information
Practice address
17115 LOST CYPRESS DR, CYPRESS, TX 77429-1502
(224) 622-6874
Mailing address
215 MOUNTAIN TOP, SUNRISE BEACH, TX 78643-9201
(224) 622-6874
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
79421
TX
Other
Enumeration date
11/12/2020
Last updated
01/16/2025
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