Doctor Name: | MISS KATHERINE ELIZABETH KNOX |
NPI Number: | 1003875576 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA LLPC |
License Number: | 6401007817 |
Business Practice Address: | 1322 North River Raod Norserv Group St Clair, MI - 48079 |
Business Phone Number: | 8103294798 |
Business Fax Number: | 8103297303 |
Mailing Address: | 1219 Minnesota Road, #138 PORT HURON |
State: | MI |
Postal Code: | 48060 |
Phone Number: | 8103881181 |
Fax Number: | |
NPI Enumeration Date: | 03/22/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 6401007817 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |