Provider Demographics
NPI:1962815829
Name:KING, ROCHELLE (MA, LPC)
Entity Type:Individual
Prefix:
First Name:ROCHELLE
Middle Name:
Last Name:KING
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:732 FRONT ST
Mailing Address - Street 2:SUITE 206
Mailing Address - City:LOUISVILLE
Mailing Address - State:CO
Mailing Address - Zip Code:80027-1863
Mailing Address - Country:US
Mailing Address - Phone:303-502-4867
Mailing Address - Fax:
Practice Address - Street 1:732 FRONT ST
Practice Address - Street 2:SUITE 206
Practice Address - City:LOUISVILLE
Practice Address - State:CO
Practice Address - Zip Code:80027-1863
Practice Address - Country:US
Practice Address - Phone:303-502-4867
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-09
Last Update Date:2014-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0006475101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor