Provider Demographics
NPI:1043951692
Name:KING, AMBER MICHELE (CAS)
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:MICHELE
Last Name:KING
Suffix:
Gender:F
Credentials:CAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11130 DAHLIA DR
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80233-5427
Mailing Address - Country:US
Mailing Address - Phone:303-818-8442
Mailing Address - Fax:
Practice Address - Street 1:3254 LARIMER ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80205-2314
Practice Address - Country:US
Practice Address - Phone:800-910-3896
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-06
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COACC.0998409101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)