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NPI Code Detail

MEDICARE: CARLTON SCOTT KING MS, LPC

MEDICARE: CARLTON SCOTT KING MS, LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorLPC.0018091CO
2101YM0800XMental Health CounselorLPC.0018091CO

General Provider Information

NPI Number : 1225458219
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARLTON SCOTT KING MS, LPC
Provider Business Mailing Address
First Line : 1661 ESTRELLA AVE
Second Line :
City : LOVELAND
State : CO
Zip : 80538-3522
Country : US
Telephone Number : 970-310-3406
Fax Number :
Provider Business Practice Location Address
First Line : 1661 ESTRELLA AVE
Second Line :
City : LOVELAND
State : CO
Zip : 80538-3522
Country : US
Telephone Number : 970-310-3406
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2014
Last Update Date : 06/30/2025

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