| Doctor Name: | JEANICE MARIE KNIGHT |
| NPI Number: | 1912210311 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PLMHP, MS. |
| License Number: | 8957 |
| Business Practice Address: | 118 N Elm St Avoca, IA - 515213510 |
| Business Phone Number: | 4026779083 |
| Business Fax Number: | 7123076015 |
| Mailing Address: | 845 Hidden Hills Dr, BELLEVUE |
| State: | NE |
| Postal Code: | 680052737 |
| Phone Number: | 4026779083 |
| Fax Number: | 7123076015 |
| NPI Enumeration Date: | 07/15/2010 |
| NPI Last Update Date: | 07/15/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 8957 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NE |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |