Individual
MR. MICHAEL KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
3394 MCKELVEY RD, 116, BRIDGETON, MO 63044-2531
(314) 265-2387
Mailing address
4422 GIBSON AVE, SAINT LOUIS, MO 63110-1614
(314) 265-2387
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2009016774
MO
Other
Enumeration date
09/16/2009
Last updated
09/16/2009
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