Provider Demographics
NPI:1437343423
Name:KING, CHARLES (MA)
Entity Type:Individual
Prefix:
First Name:CHARLES
Middle Name:
Last Name:KING
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:599 TIMBERVALE TRL
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80129-6294
Mailing Address - Country:US
Mailing Address - Phone:303-909-1513
Mailing Address - Fax:
Practice Address - Street 1:1395 S PLATTE RIVER DR
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80223-3467
Practice Address - Country:US
Practice Address - Phone:303-871-7080
Practice Address - Fax:303-715-9195
Is Sole Proprietor?:No
Enumeration Date:2007-09-01
Last Update Date:2007-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health