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Individual

MR. CHARLES MICHAEL KING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMFT

Contact information

Practice address
61 EISENHOWER ST, WEST BRANCH, IA 52358-9403
(385) 230-8942
Mailing address
61 EISENHOWER ST, WEST BRANCH, IA 52358-9403
(385) 230-8942

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
10201178-3902
UT
101YM0800X
Mental Health Counselor
Primary
111007
IA
106H00000X
Marriage & Family Therapist
Primary
111007
IA
106H00000X
Marriage & Family Therapist
166001554
IL

Other

Enumeration date
08/27/2019
Last updated
04/03/2026
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