Individual
MICHAEL KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
657 E COTTONWOOD ST, SUITE 5C, COTTONWOOD, AZ 86326-4407
(928) 254-9455
Mailing address
657 E COTTONWOOD ST, SUITE 5C, COTTONWOOD, AZ 86326-4407
(928) 254-9455
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC10980
AZ
Other
Enumeration date
09/17/2010
Last updated
09/17/2010
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