Provider Demographics
NPI:1831898972
Name:KING, MICHAEL D (MA, LPC, NCC, CCTP)
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:D
Last Name:KING
Suffix:
Gender:M
Credentials:MA, LPC, NCC, CCTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 FRONT ST
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:WV
Mailing Address - Zip Code:24740-2902
Mailing Address - Country:US
Mailing Address - Phone:304-961-6093
Mailing Address - Fax:
Practice Address - Street 1:109 THORN ST STE A
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:WV
Practice Address - Zip Code:24740-3571
Practice Address - Country:US
Practice Address - Phone:681-282-5228
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-27
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV3012101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health