Individual provider · Type 1 NPI

King Iyobosa William

Addiction (Substance Use Disorder) Psychologist · Phoenix, AZ

NPI number 1104695683 Active

Practice location

15640 N 7th St Ste A1
Phoenix, AZ 85022-3520

Fax (602) 675-1839

Mailing address

PO Box 63811
Phoenix, AZ 85082-3811

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Pastoral Counselor 101YP1600XNone listed
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Group Psychotherapy Psychologist 103TP2701XNone listed
Addiction (Substance Use Disorder) Psychologist Primary 103TA0400XNone listed

Addiction (Substance Use Disorder) Psychologist: A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behav…

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About NPI 1104695683

King Iyobosa William's National Provider Identifier is 1104695683, issued on Dec 26, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Psychologist (103TA0400X), and the practice location is in Phoenix, AZ. The record was last updated on Dec 26, 2023.