Doctor Name: | CAROL J. MCKNIGHT |
NPI Number: | 1538103734 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. |
License Number: | 068-0000088 |
Business Practice Address: | 1306 Route 125 Ripton, VT - 057660079 |
Business Phone Number: | 8023886227 |
Business Fax Number: | 8023884808 |
Mailing Address: | 1306 Route 125, Po Box 79 RIPTON |
State: | VT |
Postal Code: | 057660079 |
Phone Number: | 8023886227 |
Fax Number: | 8023884808 |
NPI Enumeration Date: | 06/16/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 068-0000088 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | VT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |